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Organization
LAURETTA LOUIS HEALTHCARE
Active
Organization
LAURETTA LOUIS HEALTHCARE
Active
Other names
Lauretta Louis Homehealthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EKAN ADEGHE (DIRECTOR)
(678) 200-4106
Entity
Organization
Contact information
Practice address
515 MOUNT GERIZIM RD SE, MABLETON, GA 30126-6403
(678) 200-4106
Mailing address
515 MOUNT GERIZIM RD SE, MABLETON, GA 30126-6403
(678) 200-4106
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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