Organization
RESTFUL RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MIKELL MD (MEDICAL DIRECTOR)
(470) 266-0981
Entity
Organization
Contact information
Practice address
2195 STONEY POINT FARM RD, CUMMING, GA 30041-7870
(843) 655-3731
Mailing address
2195 STONEY POINT FARM RD, CUMMING, GA 30041-7870
(843) 655-3731
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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