Individual
MS. LORRAINE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8387 HOLLIS ST APT D, DOUGLASVILLE, GA 30134-7046
(678) 539-7253
Mailing address
8387 HOLLIS ST APT D, DOUGLASVILLE, GA 30134-7046
(678) 539-7253
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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