Organization
BOBBI PERSONAL CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BABOUCARR O SENGHORE (ADMINISTRATOR)
(404) 438-0138
Entity
Organization
Contact information
Practice address
112 JEFFERSON PKWY, SUITE 714, NEWNAN, GA 30263-5885
(404) 438-0138
Mailing address
112 JEFFERSON PKWY, SUITE 714, NEWNAN, GA 30263-5885
(404) 438-0138
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639726269A
—
GA
Enumeration date
04/23/2009
Last updated
04/23/2009
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