Organization
MAXI MAXI'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE H DONALDSON (OWNER)
(706) 834-0800
Entity
Organization
Contact information
Practice address
2429 DAMASCUS RD, AUGUSTA, GA 30904-5410
(706) 834-0800
Mailing address
2429 DAMASCUS RD, AUGUSTA, GA 30904-5410
(706) 834-0800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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