Organization
SIMPLY LIVING PERSONAL CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICKA JOHNSON (OWNER)
(912) 341-9322
Entity
Organization
Contact information
Practice address
3 BERWICK CT, SAVANNAH, GA 31406-6721
(912) 341-9322
Mailing address
3 BERWICK CT, SAVANNAH, GA 31406-6721
(912) 341-9322
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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