Organization
SHRIVER MANAGEMENT GROUP INC
Active
Parent organization
SHRIVER MANAGEMENT GROUP INC
Other names
AUTUMN TERRACE #2
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHRIVER MANAGEMENT GROUP INC
Authorized official
MICHAEL SHANE SHRIVER (PRESIDENT)
(404) 273-2361
Entity
Organization
Contact information
Practice address
1026 KEITH DR, PERRY, GA 31069-2947
(478) 987-2535
Mailing address
PO BOX 1405, DUBLIN, GA 31040-1405
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911542310C
—
GA
05
—
911542310H
—
GA
Enumeration date
08/12/2021
Last updated
08/12/2021
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