Organization
PENDLEY PERSONAL CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY PENDLEY (OWNER/MANAGER)
(706) 496-5884
Entity
Organization
Contact information
Practice address
2548 CENTRAL AVE, AUGUSTA, GA 30904-6240
(706) 496-5884
Mailing address
PO BOX 3144, AUGUSTA, GA 30914-3144
(706) 496-5884
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
LCB20050032910
GA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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