Provider Demographics
NPI:1962659920
Name:SILVER LININGS PERSONAL CARE HOME, INC.
Entity Type:Organization
Organization Name:SILVER LININGS PERSONAL CARE HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, ADMINISTRATOR, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:PRICE
Authorized Official - Last Name:MICKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-547-3060
Mailing Address - Street 1:407 HARVEY ST
Mailing Address - Street 2:
Mailing Address - City:STAPLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30823-6649
Mailing Address - Country:US
Mailing Address - Phone:706-547-3060
Mailing Address - Fax:706-547-3061
Practice Address - Street 1:407 HARVEY ST
Practice Address - Street 2:
Practice Address - City:STAPLETON
Practice Address - State:GA
Practice Address - Zip Code:30823-6649
Practice Address - Country:US
Practice Address - Phone:706-547-3060
Practice Address - Fax:706-547-3061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA081030039310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility