Organization
PERDUM ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA PERDUM (DIRECTOR)
(404) 219-3592
Entity
Organization
Contact information
Practice address
5100 KING ARTHUR LN, ELLENWOOD, GA 30294-6544
(404) 219-3592
Mailing address
5100 KING ARTHUR LN, ELLENWOOD, GA 30294-6544
(404) 219-3592
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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