Madison House Assisted Living
Organization Active NPI Assisted Living Facility · Madison, GA
NPI 1902178643 · NPPES record last updated Jan 26, 2012
Key facts
- NPI
- 1902178643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 104030011 (GA)
- Legal business name
- MADISON HOUSE ASSISTED LIVING
- Practice address
- 3910 Dixie Hwy
Madison, GA 30650-3431 - Phone
- (706) 474-3722
- Fax
- (706) 557-0203
- NPI assigned
- Jan 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Albert Miguel Perera
- Title
- Owner
- Phone
- (706) 342-4514
National Provider Directory
Locations
167 W Jefferson St
Madison, GA 30650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 104030011 | GA | Yes |
Addresses
Primary practice location
3910 Dixie Hwy
Madison, GA 30650-3431
Mailing address
167 W Jefferson St
Madison, GA 30650-1367
Phone (706) 342-4514
Other providers in Madison, GA
- M S Publishing and Consulting LLC
- Madison Drug LLC
- Madison Drug, LLC
- Madison Emergency Group, PC
- Madison Family Medicine,LLP
- Madison Medical Associates, PC
- Madison Primary Care, LLC
- Madisondentalgroupllc
- Amelia Ruth Malcom
- Kelly Lynn Martin
All providers in Madison, 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 Jan 26, 2012. 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.