Organization
S&Y PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA SMITH (OWNER)
(706) 975-4590
Entity
Organization
Contact information
Practice address
615 W MAIN ST, THOMASTON, GA 30286-3580
(706) 647-9389
(706) 647-9389
Mailing address
615 W MAIN ST, THOMASTON, GA 30286-3580
(706) 647-9389
(706) 647-9389
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
145010139
GA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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