# LIFECARE EMS OF GEORGIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205112752
- **Authorized official:** BRIAN HANEY (OWNER)
- **Authorized official phone:** (706) 245-0689

## Contact information

- **Practice address:** 363 BALDWIN RD, CORNELIA, GA 30531-5785
- **Practice address phone:** (706) 754-0295
- **Practice address fax:** (706) 245-6187
- **Mailing address:** PO BOX 5860, ATHENS, GA 30604-5860
- **Mailing address phone:** (706) 245-0689
- **Mailing address fax:** (706) 245-6187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2011
- **Last updated:** 04/22/2024