Organization
WILKINSON GEORGIA IDAHO SENIOR HOUSING LLC
Active
Other names
WATERFORD GARDENS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HOLTZ (CONTROLLER)
(541) 747-3373
Entity
Organization
Contact information
Practice address
4484 N SHALLOWFORD RD, DUNWOODY, GA 30338-6402
(770) 350-2393
Mailing address
78 CENTENNIAL LOOP, EUGENE, OR 97401-7900
(541) 747-3373
(541) 747-0673
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
06/19/2008
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