Organization
S&Y PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA J SMITH NURSE (OWNER)
(706) 975-4590
Entity
Organization
Contact information
Practice address
615 W MAIN ST, THOMASTON, GA 30286-3580
(706) 647-9389
(706) 647-9389
Mailing address
615 W MAIN ST, THOMASTON, GA 30286-3580
(706) 647-9389
(706) 647-9389
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
145-01-013-9
GA
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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