Organization
ELEGANT LM MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA LEVY (CHIEF EXECUTIVE OFFICER)
(770) 676-6626
Entity
Organization
Contact information
Practice address
1020 MEADOWSONG CIRCLE, LAWRENCEVILLE, GA 30043
(770) 676-6626
Mailing address
1020 MEADOWSONG CIRCLE, LAWRENCEVILLE, GA 30043
(770) 676-6626
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/03/2019
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