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Individual
LUCRETIUS D STEPHENS
Active
Individual
LUCRETIUS D STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDP
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
903667039
GA
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
343800000X
Secured Medical Transport (VAN)
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
11/03/2020
Last updated
10/26/2022
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