Organization
LIFE ESSENTIAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHADEESIA DUNKLEY RN (CEO)
(404) 452-8648
Entity
Organization
Contact information
Practice address
2115 CREST WOOD DR, CONYERS, GA 30094-4786
(404) 452-8648
Mailing address
2115 CREST WOOD DR, CONYERS, GA 30094-4786
(404) 452-8648
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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