SHAENA MARIE PETER

SELMA, AL
NPI1437331642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: GA  050648814)
Enumeration Date2007-11-29
Last Update Date2007-11-29
Business Address
Miss SHAENA MARIE PETER OTR/L
100 PARK PL
SELMA, AL 36701-7743
Phone number: 334-872-3471
Mailing Address
Miss SHAENA MARIE PETER OTR/L
121 MUD BRIDGE RD
FAYETTEVILLE, GA 30215-5802
Phone number: 678-591-3472
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