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Organization

PRECIOUS JEWEL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DOREEN D SMITH (OWNING DIRECTOR)
(770) 323-0037
Entity
Organization

Contact information

Practice address
6224 HILLANDALE DR, LITHONIA, GA 30058-4760
(770) 323-0037
(770) 981-1416
Mailing address
6224 HILLANDALE DR, LITHONIA, GA 30058-4760
(770) 323-0037
(770) 981-1416

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
044019211
GA

Other

Enumeration date
12/05/2011
Last updated
12/05/2011
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