Organization
GENTILITY PERSONAL CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI MARIE NESBITT (EXECUTIVE DIRECTOR)
(678) 977-5134
Entity
Organization
Contact information
Practice address
2803 AUSTIN RIDGE DR, DACULA, GA 30019-6108
(678) 977-5134
(678) 226-2944
Mailing address
2803 AUSTIN RIDGE DR, DACULA, GA 30019-6108
(678) 977-5134
(678) 226-2944
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
061-01-320-9
GA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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