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
- City
- Douglasville
- 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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