Organization
LOL-LIFE OF LIBERTY ADULT DAY PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HOWARD (CEO)
(760) 433-5411
Entity
Organization
Contact information
Practice address
2516 5TH AVE SE, MOULTRIE, GA 31788-6207
(229) 217-0565
(760) 433-5414
Mailing address
PO BOX 5636, OCEANSIDE, CA 92052-5636
(760) 433-5411
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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