Lslh Sugarloaf LLC
Assisted Living Facility in Suwanee, GA. Organization (NPI-2).
NPI number1689337263
StatusActive
Last updated in NPPESOct 20, 2021
Details
- NPI
- 1689337263
- Entity type
- Organization (NPI-2)
- Legal business name
- Lslh Sugarloaf LLC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2021
- Certification date
- Oct 20, 2021
- Last updated
- Oct 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Peachtree Villa At Suwanee (Doing Business As)
Practice location
1475 Satellite Blvd NwSuwanee, GA 30024-4895
Phone 678-990-4580
Mailing address
Po Box 2301Stillwater, MN 55082-2301
Phone 651-342-2780
Authorized official
Gregg Fox
Vice President Of Operations
6513422780
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