Individual
MRS. MAXINE ALTHEA BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 DANA POINTE CT, LAWRENCEVILLE, GA 30045-8633
(470) 367-0632
(470) 367-0632
Mailing address
640 DANA POINTE CT, LAWRENCEVILLE, GA 30045-8633
(470) 367-0632
(470) 367-0632
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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