NPI 1396883252
Leisure Living, INC
Practice location
- Address
- 1105 Mount Vernon Rd, Vidalia, GA 30474-3002
- Phone
- (912) 537-9306
- Fax
- (912) 538-5509
- Mailing address
- 1105 Mount Vernon Rd PO. Box 561, Vidalia, GA 30474-3002
Authorised official
- Name
- Joette H. Gay
- Title
- Director
- Phone
- (912) 537-9306
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1396883252
- Entity type
- Organization
- NPI issued
- 2 Feb 2007
- Record last updated
- 22 Aug 2020
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.