NPI 1083469092

Summerfield Personal Care Home LLC

Organisation Adult Care Home Facility Covington, GA

Practice location

Address: 12166 Highway 212, Covington, GA 30014-7876
Phone: (678) 600-6704
Fax: (404) 745-8410

Authorised official

Name: Brenda Snow Jacobs
Title: Administrator/Provider
Phone: (678) 600-6704

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1083469092
Entity type: Organization
NPI issued: 22 Apr 2024
Record last updated: 4 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.