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Bradley White
Assisted Living Facility in Swainsboro, Georgia
NPI 1609572742

Bradley White is an Assisted Living Facility based in Swainsboro, GA. Bradley White practices in Swainsboro, GA. The NPI Number for Bradley White is 1609572742 and holds a License No. 012221 (Georgia).

The current practice location address for Bradley White is 634 Summitt Ave, Swainsboro, GA and can be reached out via phone at 478-268-4348 and via fax at 478-268-4348.

Location: 634 Summitt Ave, Swainsboro, GA, 30401-4428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609572742
Provider Name
Bradley White
Credential
Provider Entity Type
Individual
Gender
Male
Address
634 Summitt Ave, Swainsboro, GA, 30401-4428
Phone Number
478-268-4348
Fax Number
478-268-4348
Provider Enumeration Date
01/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
634 Summitt Ave
City
Swainsboro
State
Georgia
Zip
30401-4428
Phone Number
478-268-4348
Fax Number
478-268-4348
person
Provider Business Mailing Address Details
Address
634 Summitt Ave
City
Swainsboro
State
Georgia
Zip
30401-4428
Phone Number
478-268-4348
Fax Number
478-268-4348
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
012221 (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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