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Organization
LOUDEN FAIRFAX CARE LLC
Active
Organization
LOUDEN FAIRFAX CARE LLC
Active
Other names
Louden Fairfax Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN COLBY THOMAS REP (BUSINESS MANAGER)
(912) 741-8980
Entity
Organization
Contact information
Practice address
207 INSTITUTE ST, STATESBORO, GA 30458-0920
(912) 741-8980
Mailing address
207 INSTITUTE ST, STATESBORO, GA 30458-0920
(912) 741-8980
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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