Organization
ST. BENEDICT PERSONAL CARE HOME, INC.
Active
Other names
ST. BENEDICT PERSONAL CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA FREEMAN B.A. (OWNER)
(678) 401-4788
Entity
Organization
Contact information
Practice address
1130 VONDA LN SW, MABLETON, GA 30126-3024
(678) 401-4788
(678) 401-4786
Mailing address
1130 VONDA LN SW, MABLETON, GA 30126-3024
(678) 401-4788
(678) 401-4786
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
033012821
GA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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