Five Star Quality Care-Ga, LLC

NPI #1740229707 in Tucker, Georgia

Provider Information

NPI Number
1740229707
Entity Type
Organization
Organization Name
Five Star Quality Care-Ga, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE STAR QUALITY CARE-GA, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 5, 2006
Last Updated
Jun 27, 2016

Practice Location

Address
1300 MONTREAL RD
City
Tucker
State
Georgia
ZIP Code
30084-8141
Phone
(770) 934-0034

Authorized Official

Name
BRUCE J MACKEY JR.
Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone
(617) 796-8214

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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