Organization
SENIOR SOCIAL ADULT DAY CARE
Active
Other names
Senior Social Care Registry
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN BAISDEN (OWNER)
(678) 518-5212
Entity
Organization
Contact information
Practice address
3710 ALAMOSA CT, LAWRENCEVILLE, GA 30044-2062
(678) 518-5212
Mailing address
3710 ALAMOSA CT, LAWRENCEVILLE, GA 30044-2062
(678) 518-5212
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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