Organization
OPEN ARMS & LOVING HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKESHA ADAMS LPN (ADMINISTRATOR)
(770) 469-0700
Entity
Organization
Contact information
Practice address
4996 DEKALB WAY, STONE MOUNTAIN, GA 30087-4034
(770) 469-0700
(770) 469-0627
Mailing address
4996 DEKALB WAY, STONE MOUNTAIN, GA 30087-4034
(770) 469-0700
(770) 469-0627
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
067-R-0419
GA
251J00000X
Nursing Care Agency
067-R-0419
GA
253Z00000X
In Home Supportive Care Agency
Primary
067-R-0419
GA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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