Organization
CLINTON'S COUNTRY RESTURANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON STROZIER (OWNER)
(706) 672-0200
Entity
Organization
Contact information
Practice address
8007 LAGRANGE HWY, GREENVILLE, GA 30222-4530
(706) 672-0200
(706) 672-2001
Mailing address
8007 LAGRANGE HWY, GREENVILLE, GA 30222-4530
(706) 672-0200
(706) 672-2001
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
70
GA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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