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Organization

LATOYA WINSTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATOYA WINSTON (CNA)
(404) 457-1637
Entity
Organization

Contact information

Practice address
3253 DIAMOND BLF, UNION CITY, GA 30291
(404) 914-0276
Mailing address
3253 DIAMOND BLF, UNION CITY, GA 30291
(404) 914-0276

Taxonomy

Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
CN0030004172
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CN0030004172
GEORGIA NURSE AIDE REGISTRY LICENSE
GA
Enumeration date
10/15/2011
Last updated
10/26/2017
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