Organization
LILLIES TOTALCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENOLA WILLIAMS (ADMINISTRATOR)
(678) 687-8934
Entity
Organization
Contact information
Practice address
4232 TRILLIUM WOOD TRL, SNELLVILLE, GA 30039-6087
(678) 687-8934
Mailing address
4232 TRILLIUM WOOD TRL, SNELLVILLE, GA 30039-6087
(678) 687-8934
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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