Organization
SUNSET NELLEE PCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERL NELL PINKSTON (OWNER/MANAGER)
(678) 565-9940
Entity
Organization
Contact information
Practice address
6420 BENNETT DR, REX, GA 30273-1731
(678) 565-9940
Mailing address
6420 BENNETT DR, REX, GA 30273-1731
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10-00015847
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357063458A
—
GA
Enumeration date
10/08/2010
Last updated
10/08/2010
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