Organization
PEACEFUL LIVING III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONNIA T PAZ (OWNER)
(706) 870-3432
Entity
Organization
Contact information
Practice address
2815 DEANS BRIDGE RD, AUGUSTA, GA 30906-2704
(706) 699-9771
Mailing address
PO BOX 5801, AUGUSTA, GA 30916-5801
(706) 699-9771
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
LCB20170001071
GA
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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