Organization
GENTLECOVE HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA N RN, BSC, BA (ADMINISTRATOR)
(678) 846-5522
Entity
Organization
Contact information
Practice address
560 GRADY AVE, SUITE D, FAYETTEVILLE, GA 30214-1975
(678) 846-5522
Mailing address
PO BOX 841, FAYETTEVILLE, GA 30214-0841
(678) 846-5522
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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