Organization
KEITH'S PLACE PERSONAL CARE HOME,INC
Active
Other names
keith's place personal care home.Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEESHELL ALEXANDER (DIRECTOR)
(404) 447-3989
Entity
Organization
Contact information
Practice address
2594 HOLLY BERRY TRL, SNELLVILLE, GA 30039-4331
(678) 395-3482
Mailing address
2594 HOLLY BERRY TRL, SNELLVILLE, GA 30039-4331
(678) 395-3482
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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