Organization
SYLVANIA WAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA R GLISSON CPA (ACCOUNTANT)
(912) 564-2513
Entity
Organization
Contact information
Practice address
803 W OGEECHEE ST, SYLVANIA, GA 30467-8696
(912) 564-2347
Mailing address
104 E TELEPHONE ST, SYLVANIA, GA 30467-1959
(912) 564-2513
(912) 564-2750
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
022203095A
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022203095A
—
GA
Enumeration date
05/12/2008
Last updated
05/12/2008
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