Grace Assisted Living of Douglasville, LLC

NPI #1265638910 in Douglasville, Georgia

Provider Information

NPI Number
1265638910
Entity Type
Organization
Organization Name
Grace Assisted Living of Douglasville, LLC
Primary Specialty
Point of Service
Enumeration Date
Jun 21, 2007
Last Updated
May 13, 2008

Practice Location

Address
8847 HOSPITAL DR
State
Georgia
ZIP Code
30134-2267
Phone
(770) 920-2273

Authorized Official

Name
MR. JOHN HOLTZ
Title
CONTROLLER
Phone
(541) 747-3373

Specialties & Taxonomy Codes

Specialty
Point of Service

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