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1265638910
GRACE ASSISTED LIVING OF DOUGLASVILLE, LLC
DOUGLASVILLE, GA
NPI
1265638910
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Entity Type
Organization
Authorized Contact
JOHN HOLTZ
Controller
541-747-3373
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2007-06-21
Last Update Date
2008-05-13
Business Address
GRACE ASSISTED LIVING OF DOUGLASVILLE, LLC
8847 HOSPITAL DR
DOUGLASVILLE, GA 30134-2267
Phone number: 770-920-2273
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Mailing Address
GRACE ASSISTED LIVING OF DOUGLASVILLE, LLC
78 CENTENNIAL LOOP
EUGENE, OR 97401-7900
Phone number: 541-747-3373
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