Organization
L BATTLO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE L BATTLES (ADMINISTRATOR)
(404) 944-1501
Entity
Organization
Contact information
Practice address
3550 KEELS LN, ATLANTA, GA 30349-4546
(770) 969-6513
(770) 471-6592
Mailing address
7995 WOODS LN, JONESBORO, GA 30236-3976
(404) 944-1501
(770) 471-6592
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501494795B
—
GA
05
—
501494795D
—
GA
Enumeration date
01/31/2012
Last updated
01/31/2012
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