Organization
BETTY'S ASSISTED LIVING HOME,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY SUE NIPPER (OWNER/OPERATOR)
(912) 331-0922
Entity
Organization
Contact information
Practice address
603 WARD ST E, DOUGLAS, GA 31533-0301
(912) 331-0922
Mailing address
603 WARD ST E, DOUGLAS, GA 31533-0301
(912) 331-0922
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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