Eddies's Care Home Inc.

NPI #1558642157 in Lakeland, Georgia

Provider Information

NPI Number
1558642157
Entity Type
Organization
Organization Name
Eddies's Care Home Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
EDDIE'S CARE HOME INC.
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 9, 2011
Last Updated
Sep 9, 2011

Practice Location

Address
103 W MAIN ST
State
Georgia
ZIP Code
31635-6866
Phone
(229) 482-8164

Authorized Official

Name
MISS SHARON SALOME ROBERSON
Title
OWNER/ADMIN
Phone
(229) 269-1043

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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