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Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRELLIS ANN HARPER-HILL (OWNER)
(770) 686-2668
Entity
Organization

Contact information

Practice address
2628 LOVEJOY CROSSING ST, HAMPTON, GA 30228-5995
(770) 630-1988
Mailing address
2628 LOVEJOY CROSSING ST, HAMPTON, GA 30228-5995
(770) 630-1988

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
09/02/2020
Last updated
09/02/2020
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