Organization
LE PRIME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXWELL YAOVI TENGUE (MANAGING DIRECTOR)
(770) 686-3566
Entity
Organization
Contact information
Practice address
2080 SUGARLOAF PKWY STE 100, LAWRENCEVILLE, GA 30045-9401
(770) 686-3566
(470) 545-6432
Mailing address
2080 SUGARLOAF PKWY STE 100, LAWRENCEVILLE, GA 30045-9401
(770) 686-3566
(470) 545-6432
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
067-R-1241
GA
Other
Enumeration date
10/25/2014
Last updated
01/24/2022
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