Organization
BLESSINGS ASSURANCE PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA RENNA TAYLOR (CEO)
(678) 469-3977
Entity
Organization
Contact information
Practice address
285 VICKERY LN, FAYETTEVILLE, GA 30215-4680
(678) 469-3977
(770) 755-1397
Mailing address
285 VICKERY LN, FAYETTEVILLE, GA 30215-4680
(678) 469-3977
(770) 755-1397
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485403553A
—
GA
Enumeration date
02/27/2009
Last updated
02/27/2009
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