Falcon Crest Manor, LLC

NPI #1861763195 in Gordon, Georgia

Provider Information

NPI Number
1861763195
Entity Type
Organization
Organization Name
Falcon Crest Manor, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 18, 2012
Last Updated
Jan 18, 2012

Practice Location

Address
111 EPPS ST
City
Gordon
State
Georgia
ZIP Code
31031-3805
Phone
(478) 628-1126

Authorized Official

Name
MS. PHYLLIS L. KINDELIN, RN
Title
OWNER
Phone
(478) 456-4758

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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