Organization
A&U PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSUE ULYSSE (OWNER)
(404) 667-7811
Entity
Organization
Contact information
Practice address
11003 SHANNON CIR, HAMPTON, GA 30228-3315
(404) 667-7811
Mailing address
11003 SHANNON CIR, HAMPTON, GA 30228-3315
(404) 667-7811
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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