Organization
SAMAGAS HOUSE ORG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA P COLEY (OWNER/OPERATOR)
(678) 963-4068
Entity
Organization
Contact information
Practice address
1500 MOUNTAIN VIEW CIRLCLE, CONYERS, GA 30014
(678) 963-4068
Mailing address
1500 MOUNTAIN VIEW CIRLCLE, CONYERS, GA 30014
(678) 963-4068
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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