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General NPI Number Information
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NPI Number | 1639235708
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Entity Type | Organization
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Legal Business Name | KNOB HILL ASSISTED LIVING CENTER, INC.
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Dates
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Enumeration Date | 12/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2818 KNOB HILL FARM RD
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City | EVANS
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State | GA
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Zip | 30809-6618
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Country | US
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Telephone | 706-860-0556
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Fax | 706-868-8572
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Provider Business Mailing Address
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Address Line | 2818 KNOB HILL FARM RD
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City | EVANS
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State | GA
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Zip | 30809-6618
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Country | US
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Telephone | 706-860-0556
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Fax | 706-868-8572
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CAROL T. WILLIAMS
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Credential | R.N.
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Telephone | 706-359-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | GA
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