Skyland Manor Pch
NPI #1992958474 in Loganville, Georgia
Provider Information
- NPI Number
- 1992958474
- Entity Type
- Organization
- Organization Name
- Skyland Manor Pch
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 29, 2008
- Last Updated
- Oct 29, 2008
Practice Location
- Address
- 3505 SKYLAND DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-8962
- Phone
- (770) 985-3400
Authorized Official
- Name
- MR. HUGH HENDERSON GREENIDGE
- Title
- MEMBER/MANAGER
- Phone
- (646) 269-9764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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