Traces of Tiger I
Organization Active NPI Assisted Living Facility · Tiger, GA
NPI 1770036030 · NPPES record last updated Aug 3, 2016
Key facts
- NPI
- 1770036030
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 119030011 (GA)
- Legal business name
- TRACES OF TIGER I
- Practice address
- 382 Bridge Creek Rd
Tiger, GA 30576-2211 - Phone
- (706) 782-6208
- Fax
- (706) 782-5019
- NPI assigned
- Aug 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Carlie S Pennington
- Title
- Sole MB
- Phone
- (706) 746-6571
National Provider Directory
Locations
382 Bridge Creek Rd
Tiger, GA 30576
Phone (706) 782-6208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 119030011 | GA | Yes |
Addresses
Primary practice location
382 Bridge Creek Rd
Tiger, GA 30576-2211
Mailing address
382 Bridge Creek Rd
Tiger, GA 30576-2211
Phone (706) 782-6208
Other providers in Tiger, GA
- Janice B Robbins
- Maeve Teresa Robinson
- Wanda Strickland
- Jessica Chastain Tewell
- Rachel Toscano
- Georgia O'Neil Young
All providers in Tiger, 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 Aug 3, 2016. 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.