Organization
SPRING VILLA PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMOGENE TOMPKINS (DIRECTOR)
(478) 742-0972
Entity
Organization
Contact information
Practice address
620 MONROE ST, MACON, GA 31201-1422
(478) 742-0972
Mailing address
620 MONROE ST, MACON, GA 31201-1422
(478) 742-0972
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
011020151
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00454968A
—
GA
Enumeration date
04/03/2007
Last updated
08/12/2008
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