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Organization

NEW DESTINY PERSONAL HOME

Active
Other names
NEW DESTINY PERSONAL CARE HOME ONE INC
Organization subpart
No

Provider details

NPI number
Authorized official
EMMETT GEORGE SHERRIFF (ADMINISTRATOR)
(912) 225-6068
Entity
Organization

Contact information

Practice address
308 LONGWOOD DR, STATESBORO, GA 30461-0828
(912) 225-6068
(912) 225-6068
Mailing address
308 LONGWOOD DR, STATESBORO, GA 30461-0828
(912) 225-6068
(912) 225-6068

Taxonomy

Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
385HR2055X
GA

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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