Organization
CARING HEARTS PERSONAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATTIE R JOHNSON (OWNER/ADMINSTRATOR)
(706) 202-4271
Entity
Organization
Contact information
Practice address
261 MOUNT VERNON RD NW, MONROE, GA 30655-5059
(770) 207-9618
(770) 207-9618
Mailing address
261 MOUNT VERNON RD NW, MONROE, GA 30655-5059
(770) 207-9618
(770) 207-9618
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
147010211
GA
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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