Organization
PHLEBO ON THE GO LLC
Active
Other names
PHLEBO ON THE GO LLC, PHLEBO ON THE GO LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GLYNIS LEFLORE (CEO)
(404) 769-2464
Entity
Organization
Contact information
Practice address
4745 LEGACY COVE LN, MABLETON, GA 30126-2580
(404) 769-2464
Mailing address
4745 LEGACY COVE LN, MABLETON, GA 30126-2580
(404) 769-2464
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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