Pendley Personal Care Home INC.
Assisted Living Facility, Assisted Living, Mental Illness in Augusta, GA. Organization (NPI-2).
NPI number1447532007
StatusActive
Last updated in NPPESSep 9, 2011
Details
- NPI
- 1447532007
- Entity type
- Organization (NPI-2)
- Legal business name
- Pendley Personal Care Home INC.
- Organization subpart
- No
- Enumeration date
- Sep 9, 2011
- Last updated
- Sep 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | LCB20050032910 | GA | Yes |
Practice location
2548 Central AveAugusta, GA 30904-6240
Phone 706-496-5884
Mailing address
Po Box 3144Augusta, GA 30914-3144
Phone 706-496-5884
Authorized official
Kimberly Pendley
Owner/Manager
7064965884
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