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Organization

UPPER RIVER PERSONAL CARE HOME INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL MERCEDES MEIKLE MCDONALD (PRESIDENT ADMINISTRATOR)
(770) 784-7757
Entity
Organization

Contact information

Practice address
130 UPPER RIVER RD, COVINGTON, GA 30016-3346
(770) 784-7757
Mailing address
130 UPPER RIVER RD, COVINGTON, GA 30016-3346
(770) 784-7757

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/21/2007
Last updated
09/21/2007
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