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Organization

REJUVIA HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY BREANA RATLIFF ADM, MBA, MPM (ADMINISTRATOR & SECRETARY)
(843) 680-1694
Entity
Organization

Contact information

Practice address
9160 LAKESIDE WAY, GAINESVILLE, GA 30506-6224
(770) 205-5353
Mailing address
9160 LAKESIDE WAY, GAINESVILLE, GA 30506-6224
(770) 205-5353

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
06/14/2021
Last updated
06/14/2021
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