Organization
KAIROS HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY VICTOR JOHNSON (ADMINISTRATOR)
(678) 887-9315
Entity
Organization
Contact information
Practice address
915 SWEET MILL LN, LAWRENCEVILLE, GA 30045-6824
(678) 887-9315
Mailing address
915 SWEET MILL LN, LAWRENCEVILLE, GA 30045-6824
(678) 887-9315
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
067R1445
GA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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