Organization
EXTON LLC
Active
Other names
Tiara's Adult Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA TOPPING (CEO)
(770) 369-7355
Entity
Organization
Contact information
Practice address
220 PRICE RD, FAYETTEVILLE, GA 30215-2019
(770) 719-3577
(678) 389-4783
Mailing address
220 PRICE RD, FAYETTEVILLE, GA 30215-2019
(770) 719-3577
(678) 389-4783
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
05601017-1
GA
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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