Organization
MILE STONE ADULT DAY HEALTH SERVICE
Active
Other names
Mile Stone Adult Day Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DAVIS (CO OWNER)
(478) 447-1547
Entity
Organization
Contact information
Practice address
206 ANDERSON AVE, FORT VALLEY, GA 31030-4144
(478) 447-1547
Mailing address
206 ANDERSON AVE, FORT VALLEY, GA 31030-4144
(478) 447-1547
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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