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Organization

LBC STOCKBRIDGE LLC

Active
Other names
Monarch Villa at Stockbridge
Organization subpart
No

Provider details

NPI number
Authorized official
GREGG FOX (VICE PRESIDENT OF OPERATIONS)
(651) 342-2780
Entity
Organization

Contact information

Practice address
100 MONARCH VILLAGE WAY, STOCKBRIDGE, GA 30281-9148
(770) 376-6753
Mailing address
PO BOX 2301, STILLWATER, MN 55082-2301
(651) 342-2780

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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