Organization
LISA MARIE ASSISTED LIVING LLC
Active
Other names
LISA MARIE ASSISTED LIVING LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHNEY HARRYTON RN (PRESIDENT)
(646) 479-3304
Entity
Organization
Contact information
Practice address
1165 LAWANNA DR, BAXLEY, GA 31513-6810
(646) 479-3304
Mailing address
1165 LAWANNA DR, BAXLEY, GA 31513-6810
(646) 479-3304
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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