Organization
MISTY SUE'S ADULT DAY HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA SHORT (OWNER/OPERATOR)
(678) 986-4042
Entity
Organization
Contact information
Practice address
517 HILL ST, MONROE, GA 30656-1507
(770) 267-7995
Mailing address
517 HILL ST, MONROE, GA 30656-1507
(770) 267-7995
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC00203
GA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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