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Organization

HOUSE OF LORD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORIS J CHRISTIE C.N.A (ADMINISTRATOR)
(770) 439-4918
Entity
Organization

Contact information

Practice address
3802 MACLAND RD, HIRAM, GA 30141-2237
(770) 439-4918
(770) 439-4918
Mailing address
3802 MACLAND RD, HIRAM, GA 30141-2237
(770) 439-4918
(770) 439-4918

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCH008009
GA

Other

Enumeration date
02/04/2013
Last updated
02/04/2013
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