Organization
IRIS COVE PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE EUBANKS BENTLEY (OWNER)
(706) 306-0273
Entity
Organization
Contact information
Practice address
2382 WHEELESS RD, AUGUSTA, GA 30906-5404
(706) 306-0273
Mailing address
2382 WHEELESS RD, AUGUSTA, GA 30906-5404
(706) 306-0273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
05/18/2021
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