SHALLOWFORD GROUP HOME

ATLANTA, GA
NPI1306981113
Other NameSHALLOWFORD GROUP HOME
Entity TypeOrganization
Authorized ContactFABIO BRUNO VAN DER MERWE
COO
404-294-3836
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2007-02-20
Last Update Date2024-08-19
Business Address
SHALLOWFORD GROUP HOME
2473 SHALLOWFORD RD NE
ATLANTA, GA 30345-1363
Phone number: 404-636-0955
Mailing Address
SHALLOWFORD GROUP HOME
445 WINN WAY FL 4
DECATUR, GA 30030-1707
Phone number: 404-508-7796
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