Organization
STEWART'S VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONJA TONPEA (C.E.O.)
(770) 459-2048
Entity
Organization
Contact information
Practice address
224 SOUTH CANDLER STREET, VILLA RICA, GA 30180-1825
(770) 459-2048
Mailing address
224 S CANDLER ST, VILLA RICA, GA 30180-2603
(770) 459-2048
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E0000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000598606A
—
GA
Enumeration date
06/29/2007
Last updated
11/26/2013
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