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Organization

WHISPERING PINES PCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN DENISE SNEAD RN (CEO)
(478) 994-0382
Entity
Organization

Contact information

Practice address
6273 HWY 41 SOUTH, BOLINGBROKE, GA 31004
(478) 994-0382
Mailing address
PO BOX 129, BOLINGBROKE, GA 31004
(478) 994-0382

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00751869A
GA
Enumeration date
05/03/2007
Last updated
08/22/2020
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