Organization
PRN NURSING AND ALTERNATIVE LIVING FAMILY CARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE S HILL RN (DIRECTOR)
(478) 456-9296
Entity
Organization
Contact information
Practice address
115 LAKESHORE DR S, IVEY, GA 31031-3537
(478) 456-9296
Mailing address
115 LAKESHORE DRIVE SOUTH, IVEY, GA 31031
(478) 456-9296
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
158010091
GA
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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