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1053669986
LE'GLEN PERSONAL CARE HOME
ELLENWOOD, GA
NPI
1053669986
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Entity Type
Organization
Authorized Contact
GLYNDA M ETCHISON
Provider
404-963-1599
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: GA PCH008098)
Enumeration Date
2012-08-27
Last Update Date
2012-08-27
Business Address
LE'GLEN PERSONAL CARE HOME
2490 BOULDER SPRINGS PT
ELLENWOOD, GA 30294-1762
Phone number: 404-963-1599
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Mailing Address
LE'GLEN PERSONAL CARE HOME
2490 BOULDER SPRINGS PT
ELLENWOOD, GA 30294-1762
Phone number: 404-963-1599
Copy
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