Organization
KELLY FOUNDATION FOR SENIOR LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMBRIA A MOON (SECRETARY/TREASURER)
(770) 646-7777
Entity
Organization
Contact information
Practice address
4083 BUSINESS 27, BUCHANAN, GA 30113
(770) 646-7777
Mailing address
PO BOX 777, BUCHANAN, GA 30113-0777
(770) 646-7777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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