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Organization
LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY
Active
Organization
LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY
Active
Other names
West Georgia Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD N FULKS (PRESIDENT CEO)
(706) 845-3244
Entity
Organization
Contact information
Practice address
120 GLENN BASS RD, LAGRANGE, GA 30240-5809
(706) 845-3291
(706) 845-3902
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 845-3291
(706) 845-3902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
02/15/2006
Last updated
11/05/2007
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