Organization
PINES PERSONAL CARE HOME III ALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT C. MEADOWS (OWNER)
(229) 878-1415
Entity
Organization
Contact information
Practice address
2121 MARTIN LUTHER KING JR DR BLDG C, ALBANY, GA 31701-4112
(229) 878-1415
(229) 878-1417
Mailing address
2121 MARTIN LUTHER KING JR DR, ALBANY, GA 31701-4101
(229) 878-1415
(229) 878-1417
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
K536292
GA
Other
Enumeration date
05/21/2008
Last updated
05/22/2008
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