Organization
FIVE STAR QUALITY CARE-GA, LLC
Active
Parent organization
FIVE STAR QUALITY CARE-GA, LLC
Other names
Northlake Gardens
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE-GA, LLC
Authorized official
BRUCE J MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8214
Entity
Organization
Contact information
Practice address
1300 MONTREAL RD, TUCKER, GA 30084-8141
(770) 934-0034
(770) 934-0055
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8385
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
044-03-019-1
GA
Other
Enumeration date
06/05/2006
Last updated
06/27/2016
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