Organization
BENTLEY SQUARE BY HARBORVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DENISON RN, LNHA (REGIONAL DIRECTOR OF OPERATIONS)
(912) 294-6699
Entity
Organization
Contact information
Practice address
3884 LAVISTA RD, TUCKER, GA 30084-5199
(770) 938-7260
Mailing address
3884 LAVISTA RD, TUCKER, GA 30084-5199
(770) 938-7260
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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