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Organization

TOP OF THE LINE HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MAUREEN SCOTT RICHARDSON REGISTERED NURSE (ADMINISTRATOR)
(678) 896-7486
Entity
Organization

Contact information

Practice address
4818 MITCHELLS RIDGE DR, ELLENWOOD, GA 30294-6631
(678) 289-2487
(678) 289-2487
Mailing address
4818 MITCHELLS RIDGE DR, ELLENWOOD, GA 30294-6631
(678) 289-2487
(678) 289-2487

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
044-R-0513
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
841707583A
GA
Enumeration date
06/08/2009
Last updated
06/08/2009
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