Organization
SOUTHEAST SENIOR CARE MANGMENT GROUP
Active
Other names
memory lane
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHENEY (CEO)
(770) 258-8600
Entity
Organization
Contact information
Practice address
501 MITCHELL AVE, BOWDON, GA 30108-1407
(770) 258-8600
Mailing address
501 MITCHELL AVE, BOWDON, GA 30108-1407
(770) 258-8600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
022-03-010-9
GA
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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