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Organization

HOUSE OF PREPARATION, LLC

Active
Find providers by NPI
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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