North Georgia Personal Care LLC

Organization Active NPI Adult Care Home Facility · Talking Rock, GA

NPI 1437489762 · NPPES record last updated Jan 8, 2010

Key facts

NPI
1437489762
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
112-R-0521 (GA)
Legal business name
NORTH GEORGIA PERSONAL CARE LLC
Practice address
80 Larkspur LN
80 Larkspur Lane
Talking Rock, GA 30175-3743
Phone
(706) 253-0131
Fax
(706) 253-0131
NPI assigned
Jan 8, 2010
Organization subpart
No

Authorized official

Name
Ms. Rose Mary Davidson, (706)0253-0131
Title
Owner
Phone
(706) 253-0131

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
North Georgia Personal Care LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 112-R-0521 GA Yes

Addresses

Primary practice location

80 Larkspur LN
80 Larkspur Lane
Talking Rock, GA 30175-3743

Mailing address

80 Larksupr Lane
Talking Rock, GA 30175
Phone (706) 253-0131

Other providers in Talking Rock, GA

All providers in Talking Rock, GA · Adult Care Home Facility in Georgia

Sources for this page

Verify at the official NPI Registry.