Equilla W Brackett
Equilla W Brackett is an Assisted Living Facility in Jenkinsburg, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2010
Practice location Address checks out
379 County Line RdJenkinsburg, GA 30234-2313
Phone: (770) 775-6949
Fax: (770) 504-0783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 018-01-008-1 (GA) |
|---|
Record details
| NPI number | 1982912721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2010 |
| Last updated in NPPES | September 15, 2010 |