Organization
THOMASVILLE I ENTERPRISES, LLC
Active
Other names
Plantation Manor
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8841
Entity
Organization
Contact information
Practice address
220 PARK AVE, THOMASVILLE, GA 31792-6145
(229) 227-0880
(229) 227-1217
Mailing address
220 PARK AVE, THOMASVILLE, GA 31792-6145
(229) 227-0880
(229) 227-1217
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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