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Organization
TENDER LOVE NURSING CARE
Active
Organization
TENDER LOVE NURSING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA CLAUDETTE MOORE CCC/SLP (EXEC. DIRECTOR)
(478) 714-1040
Entity
Organization
Contact information
Practice address
4501 RUSSELL PKWY STE 1CR, WARNER ROBINS, GA 31088-8678
(478) 714-1040
Mailing address
328 AUDREY WAY, KATHLEEN, GA 31047-2166
(478) 714-1040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004692
GA
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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