Organization
BUTLER-BOWDEN PERSONAL CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET J. BOWDEN (DIRECTOR)
(770) 498-6381
Entity
Organization
Contact information
Practice address
694 LEIGHTON WAY, STONE MOUNTAIN, GA 30088-1829
(770) 498-6381
(770) 413-9447
Mailing address
694 LEIGHTON WAY, STONE MOUNTAIN, GA 30088-1829
(770) 498-6381
(770) 413-9447
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
044-01-294-2
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000917056A
—
GA
05
—
000917056B
—
GA
Enumeration date
04/11/2007
Last updated
06/07/2010
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