Organization
EDGEWOOD OF MONTICELLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA D. MARLOW (ADMINISTRATOR)
(706) 468-7100
Entity
Organization
Contact information
Practice address
1178 COLLEGE ST, MONTICELLO, GA 31064-2111
(706) 468-7100
(706) 468-7090
Mailing address
1178 COLLEGE ST, MONTICELLO, GA 31064-2111
(706) 468-7100
(706) 468-7090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
079020011
GA
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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