Organization
PERSONALIZED ADULT DAY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY WEST II (CHIEF OPERATING OFFICER)
(912) 507-7511
Entity
Organization
Contact information
Practice address
4714 AUGUSTA RD, GARDEN CITY, GA 31408-1727
(912) 777-5679
Mailing address
4714 AUGUSTA RD, GARDEN CITY, GA 31408-1727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
03/15/2018
Last updated
01/22/2020
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