Organization
STONEVIEW PCH, LLC
Active
Parent organization
STONEVIEW PCH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STONEVIEW PCH, LLC
Authorized official
MRS. JANE MOYO (DIRECTOR)
(404) 819-0657
Entity
Organization
Contact information
Practice address
1092 PEGGY MCMILLAN DR, LITHONIA, GA 30058-6228
(770) 879-6935
(678) 476-1699
Mailing address
1092 PEGGY MCMILLAN DR, LITHONIA, GA 30058-6228
(770) 879-6935
(678) 476-1699
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
044-01-903-9
GA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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