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Organization

S & S PERSONAL CARE HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAKITA RANDLE (OWNER)
(229) 343-0391
Entity
Organization

Contact information

Practice address
475 CINDERELLA LN SE, DAWSON, GA 39842-1850
(229) 695-9075
(229) 329-4474
Mailing address
475 CINDERELLA LN SE, DAWSON, GA 39842-1850
(229) 695-9075
(229) 329-4474

Taxonomy

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

Other

Enumeration date
03/20/2024
Last updated
07/19/2025
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