Organization
BASIL FAMILY FARM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY KING (OWNER)
(404) 326-8619
Entity
Organization
Contact information
Practice address
1071 PARK WEST CT, STONE MOUNTAIN, GA 30088-2317
(404) 326-8619
Mailing address
1071 PARK WEST CT, STONE MOUNTAIN, GA 30088-2317
(404) 326-8619
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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