Organization
PARADISE LIVING PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YLIESHE WILLIAMS (OWNER/MANAGER)
(229) 563-2482
Entity
Organization
Contact information
Practice address
619 ADDERTON ST, AMERICUS, GA 31719-2901
(229) 563-2482
Mailing address
619 ADDERTON ST, AMERICUS, GA 31719-2901
(229) 563-2482
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
11/01/2022
Last updated
02/24/2024
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