Organization
THE HARMONY HOME OF KITCHENS ROAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASE VERA ANN MILLER (ADMINISTRATOR)
(478) 696-2028
Entity
Organization
Contact information
Practice address
255 RACETRACK RD STE 25, MCDONOUGH, GA 30252-6834
(478) 696-2028
Mailing address
255 RACETRACK RD STE 25, MCDONOUGH, GA 30252-6834
(478) 696-2028
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689230898
—
GA
Enumeration date
09/02/2020
Last updated
09/21/2020
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