Organization
LOVING CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSELIE LEBRANCHE (CEO)
(678) 225-5687
Entity
Organization
Contact information
Practice address
854 PORT WEST DR, AUBURN, GA 30011-4608
(678) 225-5687
Mailing address
2666 KACHINA TRL, DACULA, GA 30019-7023
(678) 225-5687
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
061013021
GA
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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