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Organization

JMANOR LLR

Active
Other names
JManor Senior Living
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES GRAFT (OWNER/ADMINISTRATOR)
(770) 298-8439
Entity
Organization

Contact information

Practice address
11905 HARRIS RD, ROSWELL, GA 30076-1113
(770) 298-8439
(770) 298-8439
Mailing address
140 BAY COLT RD, MILTON, GA 30009-3529
(770) 298-8439

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
060-02-046-1
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060-02-046-1
PERSONAL CARE HOME LICENSE
GA
Enumeration date
11/03/2017
Last updated
11/03/2017
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