Organization
BETH'EL PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ABOSEDE ADETUTU OSHINUBI RD, LD (DIRECTOR)
(770) 736-6439
Entity
Organization
Contact information
Practice address
4327 WEBB MEADOWS DR, LOGANVILLE, GA 30052-7579
(770) 736-6439
(678) 609-5540
Mailing address
4327 WEBB MEADOWS DR, LOGANVILLE, GA 30052-7579
(770) 736-6439
(678) 609-5540
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
756428113A
GA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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