Organization
TDG GRANT ENTERPRISES LLC
Active
Other names
GOLDEN DAYS QUALITY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELLA CARVER GRANT LPN (OWNER/ADMINISTRATOR)
(706) 374-1360
Entity
Organization
Contact information
Practice address
940 KNOLLWOOD RD, MINERAL BLUFF, GA 30559-3012
(706) 374-1360
Mailing address
PO BOX 541, MINERAL BLUFF, GA 30559-0541
(706) 374-1360
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH006042
GA
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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