Organization
LADY C SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIELYNNE WILLIAMSON 4048389513 (OWNER)
(404) 838-9513
Entity
Organization
Contact information
Practice address
5152 MEMORIAL DR UNIT 830627, STONE MOUNTAIN, GA 30083-0106
(404) 838-9513
Mailing address
5152 MEMORIAL DR UNIT 830627, STONE MOUNTAIN, GA 30083-0106
(404) 838-9513
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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