Organization
NORTH GEORGIA PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE MARY DAVIDSON (706)0253-0131 (OWNER)
(706) 253-0131
Entity
Organization
Contact information
Practice address
80 LARKSPUR LN, 80 LARKSPUR LANE, TALKING ROCK, GA 30175-3743
(706) 253-0131
(706) 253-0131
Mailing address
80 LARKSUPR LANE, TALKING ROCK, GA 30175
(706) 253-0131
(706) 253-0131
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
112-R-0521
GA
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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