Organization
SKYLAND MANOR PCH
Active
Other names
Greenidge And Associates LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH HENDERSON GREENIDGE (MEMBER/MANAGER)
(646) 269-9764
Entity
Organization
Contact information
Practice address
3505 SKYLAND DR, LOGANVILLE, GA 30052-8962
(770) 985-3400
(770) 985-3425
Mailing address
22546 MURDOCK AVE, QUEENS VILLAGE, NY 11429-2729
(646) 269-9764
(718) 465-1813
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
061-01-329-1
GA
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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