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Organization

PARADISE GROVE ADULT CARE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE GAY (CEO)
(770) 882-8401
Entity
Organization

Contact information

Practice address
10854 PALADIN DR, HAMPTON, GA 30228-3340
(770) 882-8401
Mailing address
10854 PALADIN DR, HAMPTON, GA 30228-3340
(770) 882-8401

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
13-00030126
GA

Other

Enumeration date
08/19/2013
Last updated
08/19/2013
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