Organization
ASSISTED LIVING CONCEPTS INC
Active
Other names
Tara Plantation
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER A LEVONOWICH (VICE PRESIDENT CONTROLLER)
(262) 257-8888
Entity
Organization
Contact information
Practice address
440 TRIBBLE GAP ROAD, CUMMING, GA 30144
(770) 888-1114
(770) 888-5636
Mailing address
W140 N8981 LILLY ROAD, ATTN LEGAL DEPARTMENT, MENOMONEE FALLS, WI 53051-2325
(262) 257-8888
(282) 251-7633
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0580300309
GA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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