Organization
KDEVINECARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KARLA MARIE MUNDELL (OWNER)
(470) 428-5431
Entity
Organization
Contact information
Practice address
420 THORNBUSH TRCE, LAWRENCEVILLE, GA 30046-4745
(470) 428-5431
Mailing address
420 THORNBUSH TRCE, LAWRENCEVILLE, GA 30046-4745
(470) 428-5431
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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