Organization
SUMMERFIELD PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SNOW JACOBS (ADMINISTRATOR/PROVIDER)
(678) 600-6704
Entity
Organization
Contact information
Practice address
12166 HIGHWAY 212, COVINGTON, GA 30014-7876
(678) 600-6704
(404) 745-8410
Mailing address
12166 HIGHWAY 212, COVINGTON, GA 30014-7876
(678) 600-6704
(404) 745-8410
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
08/04/2024
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