Organization
RIDGEWOOD PERSONAL CARE HOME, INC
Active
Parent organization
RIDGEWOOD PERSONAL CARE HOME, INC
Other names
RIDGEWOOD CLA
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIDGEWOOD PERSONAL CARE HOME, INC
Authorized official
MR. KINGSLEY OGBUAGU (OWNER)
(678) 471-4065
Entity
Organization
Contact information
Practice address
1065 MURRAY CIR SW, MARIETTA, GA 30064-3927
(770) 590-7297
(770) 590-7297
Mailing address
1065 MURRAY CIR SW, MARIETTA, GA 30064-3927
(770) 590-7297
(770) 590-7297
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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