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Wickshire Canton Opco Llc
Assisted Living Facility in Canton, Georgia
NPI 1619516093

Wickshire Canton Opco Llc is an Assisted Living Facility based in Brentwood, GA. Wickshire Canton Opco Llc practices in Canton, GA. The NPI Number for Wickshire Canton Opco Llc is 1619516093 and holds a License No. (Georgia).

The current practice location address for Wickshire Canton Opco Llc is 125 Riverstone Terrace, Canton, GA and can be reached out via phone at 770-720-9669 and via fax at 678-880-3689.

Location: 125 Riverstone Terrace, Canton, GA, 37027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619516093
Provider Name
Wickshire Canton Opco Llc
Credential
Provider Entity Type
Organization
Address
125 Riverstone Terrace, Canton, GA, 37027
Phone Number
770-720-9669
Fax Number
678-880-3689
Provider Enumeration Date
01/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Riverstone Terrace
City
Canton
State
Georgia
Zip
30114
Phone Number
770-720-9669
Fax Number
678-880-3689
person
Provider Business Mailing Address Details
Address
125 Riverstone Terrace
City
Canton
State
Georgia
Zip
30114
Phone Number
770-720-9669
Fax Number
678-880-3689
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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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