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Organization

TARR PERSONAL CARE HOME LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KARBEA TARR NUAHN (OWNER)
(404) 454-7414
Entity
Organization

Contact information

Practice address
1180 MUNDYS MILL RD, JONESBORO, GA 30238-6038
(404) 454-7414
Mailing address
628 RIVER MIST DR, JONESBORO, GA 30238-5789
(404) 454-7414
(470) 317-5901

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
310400000X
Assisted Living Facility
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility

Other

Enumeration date
08/13/2019
Last updated
08/13/2019
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