Organization
LAFAYETTE MEDICAL AND ALTERNATIVE HEALTH
Active
Other names
Lafayette Medical & Alternative Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHRYN PARKMAN LISCENSE NURSE (TRREATMENT)
(770) 621-9405
Entity
Organization
Contact information
Practice address
4500 HUGH HOWELL RD, 320, TUCKER, GA 30084-4723
(770) 621-9405
(770) 621-9433
Mailing address
4500 HUGH HOWELL RD, 320, TUCKER, GA 30084-4723
(770) 621-9405
(770) 621-9433
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
041157352
GA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
041157352
GA
314000000X
Skilled Nursing Facility
04115352
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041157362
LICENSE NURSE
GA
Enumeration date
10/31/2008
Last updated
10/31/2008
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