Organization
HOUSE OF PREPARATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASANDRA JONES MS, NCC (BUSINESS MANAGER)
(866) 945-9685
Entity
Organization
Contact information
Practice address
110 EAGLE SPRING DR, SUITE D, STOCKBRIDGE, GA 30281-6488
(866) 945-9685
(866) 945-9685
Mailing address
PO BOX 321, MCDONOUGH, GA 30253-0321
(866) 945-9685
(866) 945-9685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
441931037035
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858969128A
—
GA
Enumeration date
01/11/2010
Last updated
02/12/2010
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