Organization
SILVERCREST PERSONAL CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSETTA JOHNSON (OWNER)
(770) 484-3034
Entity
Organization
Contact information
Practice address
6720 PRINCETON PARK WALK, LITHONIA, GA 30058-7031
(770) 484-3034
Mailing address
6720 PRINCETON PARK WALK, LITHONIA, GA 30058-7031
(770) 484-3034
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
GA
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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