Organization
L & P MULTICARE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERDINAND MEDIKO (CEO)
(404) 543-9163
Entity
Organization
Contact information
Practice address
2596 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-8300
(404) 543-9163
(678) 802-4829
Mailing address
2596 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-8300
(404) 543-9163
(678) 802-4829
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
060-R-1118
GA
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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