Organization
EXTON INC
Active
Other names
tiara's adult personal care home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MARIE TOPPING (CEO)
(770) 369-7355
Entity
Organization
Contact information
Practice address
400 HIGHWAY 314 # 314, FAYETTEVILLE, GA 30214-4001
(770) 369-7355
Mailing address
220 PRICE RD, FAYETTEVILLE, FAYETTEVILLE, GA 30215-4001
(770) 369-7355
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
12/11/2008
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