Organization
LAMAR AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTHISHA LATRICE MATTHEWS (ADMINISTRATOR)
(404) 884-9447
Entity
Organization
Contact information
Practice address
3040 PEACHTREE RD NW UNIT 1010, ATLANTA, GA 30305-2290
(770) 239-1471
(844) 597-1762
Mailing address
3085 BROMBLEY DR SE, CONYERS, GA 30013-6483
(404) 884-9447
(844) 597-1762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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