Organization
PINE SHADOWS RETIREMENT MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE WILLIAMS RN (ADMINISTRATOR)
(229) 776-7565
Entity
Organization
Contact information
Practice address
202 E BRYANT DR, SYLVESTER, GA 31791-7350
(229) 776-7565
(229) 776-1855
Mailing address
202 E BRYANT DR, SYLVESTER, GA 31791-7350
(229) 776-7565
(229) 776-1855
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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