Organization
LAG YOUTH FOUNDATION INC
Active
Other names
LAG YOUTH HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYANT BERNARD BAILEY (OWNER)
(404) 454-1031
Entity
Organization
Contact information
Practice address
3024 EMBER DR APT 105, DECATUR, GA 30034-1545
(404) 454-1031
Mailing address
3024 EMBER DR APT 105, DECATUR, GA 30034-1545
(404) 454-1031
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
12/03/2024
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