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Organization
LIFE CARE & WISDOM CENTER PERSONAL CARE HOME
Active
Organization
LIFE CARE & WISDOM CENTER PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD BILLUPS (CEO)
(708) 256-0698
Entity
Organization
Contact information
Practice address
5637 LA FLEUR TRL, LITHONIA, GA 30038-2846
(708) 256-0698
Mailing address
4515 SUNLIGHT CT, LILBURN, GA 30047-4585
(708) 256-0698
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL19-000371
BUSINESS LICENSE
GA
Enumeration date
10/23/2019
Last updated
10/23/2019
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