Organization
ESSENCE PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASHONDA RENEE SWEDENBURG (OWNER)
(803) 646-5174
Entity
Organization
Contact information
Practice address
206 FLOWING WELLS RD, MARTINEZ, GA 30907-2140
(803) 646-5174
Mailing address
206 FLOWING WELLS RD, MARTINEZ, GA 30907-2140
(803) 646-5174
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PCH008654
GA
Other
Enumeration date
12/06/2016
Last updated
02/21/2017
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