Organization
MONTICELLO PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA COTTON (CORPORATE ADMINISTRATIVE ASSISTANT)
(770) 692-3875
Entity
Organization
Contact information
Practice address
825 EATONTON ST, MONTICELLO, GA 31064-1029
(706) 875-7944
Mailing address
825 EATONTON ST, MONTICELLO, GA 31064-1029
(706) 875-7944
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
PCH009112
GA
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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