Organization
ADULT HOMES SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD EVANS (PRESIDENT)
(912) 536-5546
Entity
Organization
Contact information
Practice address
655 FRONTAGE RD E, SYLVANIA, GA 30467-4800
(912) 564-1148
(912) 564-0015
Mailing address
803 BEST BRIDGE RD, SYLVANIA, GA 30467-8216
(912) 564-1148
(912) 564-0015
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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