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1134560840
GRACE OASIS PERSONAL CARE HOME LLC
DOUGLASVILLE, GA
NPI
1134560840
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Entity Type
Organization
Authorized Contact
SARAH PRESIDENT
Administrator/Manager
770-616-7758
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: GA CLA000784)
Enumeration Date
2013-07-10
Last Update Date
2013-07-10
Business Address
GRACE OASIS PERSONAL CARE HOME LLC
2629 HILDERBRAND DR
DOUGLASVILLE, GA 30135-5135
Phone number: 770-616-7758
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Mailing Address
GRACE OASIS PERSONAL CARE HOME LLC
2629 HILDERBRAND DR
DOUGLASVILLE, GA 30135-5135
Phone number: 770-616-7758
Copy
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