Organization
SHUJUAN HOLDINGS LLC
Active
Parent organization
TAGGART ATLANTIC HEALTHCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAGGART ATLANTIC HEALTHCARE LLC
Authorized official
MR. CRAWFORD KELLY MCDONALD (MANAGER)
(706) 270-1605
Entity
Organization
Contact information
Practice address
110 E PACES DR, ATHENS, GA 30605-5217
(706) 270-1605
Mailing address
902 W WALNUT AVE, DALTON, GA 30720-3951
(706) 270-1605
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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