NPI age
9 years
Enumerated 2017-03-20
Across 205 active clinic/center providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 383600128C | |
| 05 (GA) | 383600128D | |
| 05 (GA) | 949972040A |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Skylark Senior Care, Llc.
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