COUNTRY MANOR ESTATES PERSONAL CARE HOME LLC NPI 1851692008

NPI Information

NPI: 1851692008
Provider Name: COUNTRY MANOR ESTATES PERSONAL CARE HOME LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1487 ALLEN RD
MACON, GA
ZIP 31216
Phone: (478) 781-9387
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COUNTRY MANOR ESTATES PERSONAL CARE HOME LLC is an assisted living facility in Macon, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COUNTRY MANOR ESTATES PERSONAL CARE HOME LLC NPI is 1851692008. The provider is registered as an organization entity type.

The provider's business location address is:

1487 ALLEN RD
MACON, GA
ZIP 31216-817
Phone: (478) 781-9387
Fax: (478) 781-9387

The provider's authorized official is Faye L Groover .
The authorized official title is Owner and has the following contact phone number (478) 781-9387.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 11/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		011-01-058-1	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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