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Organization

SHRIVER MANAGEMENT GROUP INC

Active
Parent organization
SHRIVER MANAGEMENT GROUP INC
Other names
HERITAGE HOUSE
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHRIVER MANAGEMENT GROUP INC
Authorized official
MICHAEL SHANE SHRIVER (PRESIDENT)
(404) 273-2361
Entity
Organization

Contact information

Practice address
811 BELLEVUE AVE, DUBLIN, GA 31021-4847
(478) 353-1065
Mailing address
PO BOX 1405, DUBLIN, GA 31040-1405

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000359114A
GA
05
000359114B
GA
Enumeration date
08/12/2021
Last updated
08/12/2021
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