Organization
LSLH SUGARLOAF LLC
Active
Other names
Peachtree Villa at Suwanee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG FOX (VICE PRESIDENT OF OPERATIONS)
(651) 342-2780
Entity
Organization
Contact information
Practice address
1475 SATELLITE BLVD NW, SUWANEE, GA 30024-4895
(678) 990-4580
Mailing address
PO BOX 2301, STILLWATER, MN 55082-2301
(651) 342-2780
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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