Organization
FAMILY LIFE ENRICHMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH R. BENNETT, II MSED. (ASSISTANT ADMINISTRATOR)
(706) 769-7738
Entity
Organization
Contact information
Practice address
3450 NEW HIGH SHOALS ROAD, HIGH SHOALS, GA 30645-0001
(706) 769-7738
(706) 769-5944
Mailing address
3450 NEW HIGH SHOALS ROAD, HIGH SHOALS, GA 30645-0001
(706) 769-7738
(706) 769-5944
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-108-942
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00212814A
—
GA
Enumeration date
01/31/2007
Last updated
08/22/2020
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