Organization
WILLIE B GARDNER ASSISTED LIVING INC.
Active
Other names
Willie B Gardner Care Home Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SHAURINA S. DUDLEY (CEO)
(678) 663-9674
Entity
Organization
Contact information
Practice address
1262 KING RD, RIVERDALE, GA 30296-2952
(678) 789-5174
Mailing address
1262 KING RD, RIVERDALE, GA 30296-2952
(678) 789-5174
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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