Organization
STILESBORO PERSONAL CARE HOME LLC
Active
Other names
Stilesboro Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARFIELD MCCOOK BS (OWNER)
(678) 778-6335
Entity
Organization
Contact information
Practice address
4549 STILESBORO RD NW, KENNESAW, GA 30152-3945
(678) 290-0085
(888) 540-0201
Mailing address
4549 STILESBORO RD NW, KENNESAW, GA 30152-3945
(678) 290-0085
(888) 540-0201
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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