Organization
PURETOUCH WELLNESS HAVEN,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VOLICIA SCOTT (ADMINISTRATOR)
(678) 457-4249
Entity
Organization
Contact information
Practice address
110 CHANDLER WAY, FAYETTEVILLE, GA 30215-2122
(404) 763-3792
Mailing address
5663 DEERFIELD CT, COLLEGE PARK, GA 30349-3768
(404) 763-3792
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
060-01-362-1
GA
Other
Enumeration date
08/11/2010
Last updated
07/07/2011
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