Organization
LOVING CARE PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HALL RN (CEO)
(229) 309-3692
Entity
Organization
Contact information
Practice address
168 EAST CRAWFORD ST, COLQUITT, GA 39837
(229) 309-3692
Mailing address
2105 WILLIAMSBURG PLACE, BAINBRIDGE, GA 39817
(229) 309-3692
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
310400000
GA
310400000X
Assisted Living Facility
6576898
GA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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