Organization
DIVINE ALTERNATIVE PERSONAL CARE HOME
Active
Organization
DIVINE ALTERNATIVE PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA TANYA LESTER-HAYES (CEO)
(404) 981-4056
Entity
Organization
Contact information
Practice address
1728 RICE SQ, LITHONIA, GA 30058-3257
(404) 981-4056
Mailing address
1728 RICE SQUARE, LITHONIA, GA 30058
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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