54-2101776 35768.04 518.64 54-2101776 35768.04 518.64 Coffee County Nursing Home, LLC Coffee County Nursing Home, LLC 1310 West Gordon Street 1310 West Gordon Street Douglas, GA 31533 Douglas, GA 31533
Alisa Johnson Alisa Johnson
328 Pinecrest Drive 328 Pinecrest Drive Douglas, GA 31535 Douglas, GA 31535
D 1639.47 D 1639.47
DD 12741.04 DD 12741.04
GA 2187746-UQ 34128.57 956.24 GA 2187746-UQ 34128.57 956.24
256-37-5248 34128.57 256-37-5248 34128.57
35768.04 2217.62 35768.04 2217.62
54-2101776 35768.04 518.64 54-2101776 35768.04 518.64 Coffee County Nursing Home, LLC Coffee County Nursing Home, LLC 1310 West Gordon Street 1310 West Gordon Street Douglas, GA 31533 Douglas, GA 31533
Alisa Johnson Alisa Johnson
328 Pinecrest Drive 328 Pinecrest Drive Douglas, GA 31535 Douglas, GA 31535
D 1639.47 D 1639.47
DD 12741.04 DD 12741.04
GA 2187746-UQ 34128.57 956.24 GA 2187746-UQ 34128.57 956.24