Bethel Gardens LLC

NPI #1861655722 in Powder Springs, Georgia

Provider Information

NPI Number
1861655722
Entity Type
Organization
Organization Name
Bethel Gardens LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 9, 2008
Last Updated
Jul 9, 2008

Practice Location

Address
3805 JACKSON WAY
State
Georgia
ZIP Code
30127-2239
Phone
(770) 943-3620

Authorized Official

Name
MR. JOHN LAVENDER SHELLEY
Title
OWNER
Phone
77094336290

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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