Organization
SOFA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MAINS (OWNER)
(678) 607-6049
Entity
Organization
Contact information
Practice address
399 ADAMS FARM LN, LAWRENCEVILLE, GA 30046-5313
(678) 607-6049
(888) 440-9733
Mailing address
399 ADAMS FARM LN, LAWRENCEVILLE, GA 30046-5313
(678) 607-6049
(888) 440-9733
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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