Organization
NYLA'S PERSONAL CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA BROWN (OWNER/ DIRECTOR)
(706) 291-5975
Entity
Organization
Contact information
Practice address
2417 GARDEN LAKES BLVD NW STE C, ROME, GA 30165-1159
(706) 291-5975
(706) 291-5976
Mailing address
2417 GARDEN LAKES BLVD NW STE C, ROME, GA 30165-1159
(706) 291-5975
(706) 291-5976
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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