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EMERALD ISLES PCH, INC

Assisted Living, Mental Illness

Marietta, Georgia

Provider NPI: 1821260217

Organization Information:
Organization Name:  EMERALD ISLES PCH, INC


Practice Location:
1402 SHADOWBROOK DR  MARIETTA, GA 30062 US
Tel: 770-509-0533  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
N3104A0630XNursing & Custodial Care Facilities
Assisted Living Facility
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility

Other Provider Identifiers:

IssuerNumberStateType
088GA05
244GA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS GA - Page 1