Organization
LJ'S PERSONAL CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONNA GRIIFIN (OWNER)
(706) 409-3390
Entity
Organization
Contact information
Practice address
415 E 18TH ST SW, ROME, GA 30161-6544
(706) 409-3390
Mailing address
22 SAVANNAH PL NW, ROME, GA 30165-7616
(706) 409-3390
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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