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1033798525
ANGELS AT DIVINE RETREAT LLC
MACON, GA
NPI
1033798525
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Entity Type
Organization
Authorized Contact
TAMMIE T BARKSDALE
Owner/Administrator
478-257-7136
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2021-04-03
Last Update Date
2021-04-03
Business Address
ANGELS AT DIVINE RETREAT LLC
3065 JEFFERSONVILLE RD
MACON, GA 31217-5117
Phone number: 478-257-7136
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Mailing Address
ANGELS AT DIVINE RETREAT LLC
3065 JEFFERSONVILLE RD
MACON, GA 31217-5117
Phone number: 478-257-7136
Copy
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