Five Star Quality Care-ga, Llc

NPI 1740229707 - Assisted Living Facility - 310400000X

NPI Details
NPI 1740229707
Enumeration Date 06/05/2006
Last Updated 06/10/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRUCE J BRUCE
Position CEO
Phone (770) 934-0034
Fax (770) 934-0055
Practice Location
1300 MONTREAL RD
TUCKER GA, 30084-8141, US
Phone (770) 934-0034
Fax (770) 934-0055
Business Location
400 CENTRE ST
NEWTON MA, 02458-2094, US
Phone (617) 796-8387
Fax (617) 796-8385
Toxanomy
Taxonomy Code 310400000X
License State Georgia
License Number 044-03-019-1
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According to our database, Five Star Quality Care-ga, Llc NPI is 1740229707, taxonomy code is 310400000X and license number is 044-03-019-1, license state is located at Georgia. Five Star Quality Care-ga, Llc physically located at 1300 Montreal Rd, Tucker GA, 30084-8141. NPI Number 1033115704 has the healthcare provider type.

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1740229707 NPI number is provided on an as is basis without warranty of any kind. 1740229707 is maintained by the National Plan & Provider Enumeration System. The contents of Five Star Quality Care-ga, Llc are for informational purposes only.