Organization
OZRIM, LLC
Active
Other names
Phoenix Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARLEEN REISMAN NURSE PRACTITIONER (OWNER)
(770) 551-9533
Entity
Organization
Contact information
Practice address
3512 WINDRIDGE DR, MARIETTA, GA 30066-2657
(770) 551-9533
(770) 551-0302
Mailing address
1725 MOUNT VERNON RD, SUITE 4, DUNWOODY, GA 30338-4240
(770) 551-9533
(770) 551-0302
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
CLA002159
GA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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