Organization · Type 2 NPI
Country Manor Estates Personal Care Home LLC
Assisted Living Facility · Macon, GA
NPI number
1851692008
Active
Practice location
1487 Allen Rd
Macon, GA 31216-5817
Fax (478) 781-9387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 011-01-058-1 (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.
Another provider at this address
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About NPI 1851692008
Country Manor Estates Personal Care Home LLC's National Provider Identifier is 1851692008, issued on Nov 4, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Macon, GA. The record was last updated on Nov 4, 2010.