Organization
THE HOMEPLACE ADULT DAYCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE RUSSELL (PRESIDENT)
(706) 597-1890
Entity
Organization
Contact information
Practice address
1324 WRIGHTSBORO ROAD, THOMSON, GA 30824
(706) 597-1890
(706) 595-3119
Mailing address
PO BOX 565, THOMSON, GA 30824
(706) 597-1890
(706) 595-3119
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000651285C
—
GA
05
—
00651285F
—
GA
05
—
813811787A
—
GA
Enumeration date
12/12/2006
Last updated
08/15/2022
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