NPI 1831779107

Georgia Tucker LLC

Organisation Assisted Living Facility Monroe, LA

Practice location

Address: 405 Stubbs Ave, Monroe, LA 71201-5505
Phone: (318) 538-0040
Mailing address: 414 Pine St, Monroe, LA 71201-6228

Authorised official

Name: Kyle Coburn
Title: Coo
Phone: (318) 789-2001

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1831779107
Entity type: Organization
NPI issued: 12 Apr 2021
Record last updated: 12 Apr 2021

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.