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Organization

SOUTHERN COMFORT SENIOR LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVRILE POCHE (OWNER)
(678) 656-5255
Entity
Organization

Contact information

Practice address
715 SHADYBROOK DR NE, MARIETTA, GA 30066-6212
(678) 656-5255
Mailing address
715 SHADYBROOK DR NE, MARIETTA, GA 30066-6212
(678) 656-5255

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
03/03/2021
Last updated
03/12/2021
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