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1093317000
COUNTRY AIR VILLA LLC
FAIRBURN, GA
NPI
1093317000
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Entity Type
Organization
Authorized Contact
ANDREA CARGILL
Administrator
404-769-2963
Organization Subpart ?
No
Primary Taxonomy
251J00000X Nursing Care
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
COUNTRY AIR VILLA LLC
8835 NORTHCUTT RD
FAIRBURN, GA 30213-2278
Phone number: 404-769-2963
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Mailing Address
COUNTRY AIR VILLA LLC
8835 NORTHCUTT RD
FAIRBURN, GA 30213-2278
Phone number: 404-769-2963
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