Organization
LITCHFIELD HOMES LLC
Active
Other names
Elitr CLA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN ANN BACCHUS (OWNER/CEO)
(404) 468-6469
Entity
Organization
Contact information
Practice address
4925 BRIDLE POINT PKWY, SNELLVILLE, GA 30039-3343
(404) 248-7945
(770) 679-0617
Mailing address
4238 VILLAGE SQUARE LN, STONE MOUNTAIN, GA 30083-4270
(404) 248-7945
(770) 679-0617
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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