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1871923144
525 BRIDGEWATER LLC.
MARIETTA, GA
NPI
1871923144
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Entity Type
Organization
Authorized Contact
KENNETH P. SHEILDS
President
770-377-7773
Organization Subpart ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
525 BRIDGEWATER LLC.
2478 WOOD MEADOWS DRIVE
MARIETTA, GA 30064
Phone number: 770-377-7773
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Mailing Address
525 BRIDGEWATER LLC.
3233 WARREN CREEK DRIVE
HIRAM, GA 30141
Phone number: 770-377-7773
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