Organization
RUBY'S PERSONAL HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE LAWES (ADMINISTRATOR/OWNER)
(770) 679-5482
Entity
Organization
Contact information
Practice address
2625 FIELDSTONE VIEW LN SE, CONYERS, GA 30013-2184
(770) 679-5482
(770) 679-0619
Mailing address
2117 FIELDSTONE VIEW CT SE, CONYERS, GA 30013-6755
(770) 679-5482
(770) 679-0619
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PCH005620
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCH005620
GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
08/12/2011
Last updated
08/12/2011
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