Organization
L&R PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WILLIAMS (OWNER)
(229) 232-6722
Entity
Organization
Contact information
Practice address
14 SHARPER CIRCLE, VALDOSTA, GU 31601
(229) 539-0484
Mailing address
14 SHARPER CIRCLE, L&R PERSONAL CARE HOME, VALDOSTA, GA 31601
(229) 253-0683
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
092-01-112-9
GA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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