Organization · Type 2 NPI
Traces of Tiger I
Assisted Living Facility · Tiger, GA
NPI number
1770036030
Active
Practice location
382 Bridge Creek Rd
Tiger, GA 30576-2211
Fax (706) 782-5019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 119030011 (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 1770036030
Traces of Tiger I's National Provider Identifier is 1770036030, issued on Aug 3, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Tiger, GA. The record was last updated on Aug 3, 2016.