Organization
MILLION PINES PERSONAL CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JIMMIE SUE BLAND MS (ADMINISTRATOR)
(478) 463-5812
Entity
Organization
Contact information
Practice address
115 DODD CIR, STATESBORO, GA 30461-0628
(478) 463-5812
(877) 912-3006
Mailing address
PO BOX 411, MOUNT VERNON, GA 30445-0411
(478) 463-5812
(877) 912-3006
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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