Organization
COUNTRY GARDENS LANIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA L TRENTHAM (VP OF OPERATIONS)
(865) 293-6563
Entity
Organization
Contact information
Practice address
255 ELM STREET, CUMMING, GA 30040
(770) 889-7889
(770) 886-5545
Mailing address
255 ELM STREET, CUMMING, GA 30040
(770) 889-7889
(770) 886-5545
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PCH009162
GA
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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