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Green Terrace
Assisted Living Facility in Moultrie, Georgia
NPI 1598884835

Green Terrace is an Assisted Living Facility based in Moultrie, GA. Green Terrace practices in Moultrie, GA. The NPI Number for Green Terrace is 1598884835 and holds a License No. (Georgia).

The current practice location address for Green Terrace is 821 26Th Ave Se, Moultrie, GA and can be reached out via phone at 229-985-0905 and via fax at 229-890-8130.

Location: 821 26Th Ave Se, Moultrie, GA, 31768-6769
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598884835
Provider Name
Green Terrace
Credential
Provider Entity Type
Organization
Address
821 26Th Ave Se, Moultrie, GA, 31768-6769
Phone Number
229-985-0905
Fax Number
229-890-8130
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00744818A 05 GA
institution
Provider Business Practice Location Address Details
Address
821 26Th Ave Se
City
Moultrie
State
Georgia
Zip
31768-6769
Phone Number
229-985-0905
Fax Number
229-890-8130
person
Provider Business Mailing Address Details
Address
821 26Th Ave Se
City
Moultrie
State
Georgia
Zip
31768-6769
Phone Number
229-985-0905
Fax Number
229-890-8130
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
(Georgia)
Definition
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.
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