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Equilla W Brackett
Assisted Living Facility in Jenkinsburg, Georgia
NPI 1982912721

Equilla W Brackett is an Assisted Living Facility based in Jenkinsburg, GA. Equilla W Brackett practices in Jenkinsburg, GA. The NPI Number for Equilla W Brackett is 1982912721 and holds a License No. 018-01-008-1 (Georgia).

The current practice location address for Equilla W Brackett is 379 County Line Rd, Jenkinsburg, GA and can be reached out via phone at 770-775-6949 and via fax at 770-504-0783.

Location: 379 County Line Rd, Jenkinsburg, GA, 30234-2313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982912721
Provider Name
Equilla W Brackett
Credential
Provider Entity Type
Individual
Gender
Female
Address
379 County Line Rd, Jenkinsburg, GA, 30234-2313
Phone Number
770-775-6949
Fax Number
770-504-0783
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
379 County Line Rd
City
Jenkinsburg
State
Georgia
Zip
30234-2313
Phone Number
770-775-6949
Fax Number
770-504-0783
person
Provider Business Mailing Address Details
Address
379 County Line Rd
City
Jenkinsburg
State
Georgia
Zip
30234-2313
Phone Number
770-775-6949
Fax Number
770-504-0783
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
018-01-008-1 (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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