Organization
LAG YOUTH FOUNDATION INC
Active
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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