Organization
DC ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA LYNN ANDERSON REGISTERED NURSE (PRESIDENT/ OWNER OPERATOR)
(706) 739-6114
Entity
Organization
Contact information
Practice address
285 WILD IRIS LN, CLARKESVILLE, GA 30523-1849
(706) 839-6114
(706) 839-6114
Mailing address
285 WILD IRIS LN, CLARKESVILLE, GA 30523-1849
(706) 839-6114
(706) 839-6114
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
RN104355
GA
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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