Organization
WATERMARK SENIOR LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA KERN (VICE-PRESIDENT)
(678) 910-1245
Entity
Organization
Contact information
Practice address
5761 CONNER RD, FLOWERY BRANCH, GA 30542-2717
(678) 910-1245
Mailing address
3225 MCLEOD DR STE 100, LAS VEGAS, NV 89121-2257
(678) 910-1245
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125678B
—
GA
Enumeration date
04/22/2022
Last updated
04/22/2022
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