Parkside Homes

NPI #1457783094 in Moultrie, Georgia

Provider Information

NPI Number
1457783094
Entity Type
Organization
Organization Name
Parkside Homes
Primary Specialty
Custodial Care Facility
Enumeration Date
Aug 6, 2013
Last Updated
Aug 6, 2013

Practice Location

Address
119 4TH ST SW
State
Georgia
ZIP Code
31768-4547
Phone
(229) 798-0170

Authorized Official

Name
MR. WAYLAND SMITH SMITH, RN
Title
OWNER
Phone
(229) 798-0170

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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