Organization · Type 2 NPI
Country Manor Personal Care Home, Inc
Assisted Living Facility · Tignall, GA
NPI number
1649697442
Active
Practice location
173 N Hulin Ave
Tignall, GA 30668-2505
Fax (706) 285-3071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | PCH008305 (GA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1649697442
Country Manor Personal Care Home, Inc's National Provider Identifier is 1649697442, issued on Mar 19, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Tignall, GA. The record was last updated on Mar 19, 2014.