TDG Grant Enterprises LLC
Organization Active NPI Assisted Living Facility · Mineral Bluff, GA
NPI 1124396924 · NPPES record last updated Dec 7, 2011
Key facts
- NPI
- 1124396924
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- PCH006042 (GA)
- Legal business name
- TDG GRANT ENTERPRISES LLC
- Practice address
- 940 Knollwood Rd
Mineral Bluff, GA 30559-3012 - Phone
- (706) 374-1360
- NPI assigned
- Dec 7, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Della Carver Grant, LPN
- Title
- Owner/Administrator
- Phone
- (706) 374-1360
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | PCH006042 | GA | Yes |
Addresses
Primary practice location
940 Knollwood Rd
Mineral Bluff, GA 30559-3012
Mailing address
PO Box 541
Mineral Bluff, GA 30559-0541
Phone (706) 374-1360
Other names
- GOLDEN DAYS QUALITY CARE HOME
Other providers in Mineral Bluff, GA
All providers in Mineral Bluff, GA · Assisted Living Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.