Organization
LORDS SAVING GRACE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHANTA SHANENE ROBERSON RN (ADMINISTRATOR)
(912) 665-0686
Entity
Organization
Contact information
Practice address
320 SERENGETI BLVD, POOLER, GA 31322-4967
(912) 665-2239
Mailing address
320 SERENGETI BLVD, POOLER, GA 31322-4967
(912) 665-2239
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
02/27/2026
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