| Gerdie And Louise Personal Care Home, L.l.c. | |
|
1223 Newington Hwy Sylvania GA 30467-2703 | |
| (912) 978-0267 | |
| Not Available |
| Full Name | Gerdie And Louise Personal Care Home, L.l.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1223 Newington Hwy, Sylvania, Georgia |
| Authorized Official Name and Position | Justine Taylor (OWNER) |
| Authorized Official Contact | 9126782901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerdie And Louise Personal Care Home, L.l.c. 2064 Pinemount Blvd Statesboro GA 30461-2358 Ph: (912) 489-2575 | Gerdie And Louise Personal Care Home, L.l.c. 1223 Newington Hwy Sylvania GA 30467-2703 Ph: (912) 978-0267 |
| NPI Number | 1477996254 |
|---|---|
| Provider Enumeration Date | 04/11/2013 |
| Last Update Date | 04/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477996254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CLA000920 (Georgia) | Primary |
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