Organization
SPICE OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATTIE LAWSON (OWNER)
(706) 724-7689
Entity
Organization
Contact information
Practice address
1458 MILL ST, AUGUSTA, GA 30901-3591
(706) 724-7689
Mailing address
1458 MILL ST, AUGUSTA, GA 30901-3591
(706) 724-7689
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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