Grace Assisted Living of Bremen, LLC

NPI #1720284482 in Bremen, Georgia

Provider Information

NPI Number
1720284482
Entity Type
Organization
Organization Name
Grace Assisted Living of Bremen, LLC
Primary Specialty
Point of Service
Enumeration Date
Jun 21, 2007
Last Updated
May 13, 2008

Practice Location

Address
524 GORDON ST
City
Bremen
State
Georgia
ZIP Code
30110-1525
Phone
(770) 537-6800

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Point of Service

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