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Individual

MRS. WILHEMENIA HARRIS LAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
182 FAIRFIELD CIR, ATHENS, GA 30606-0517
(706) 461-0320
Mailing address
182 FAIRFIELD CIR, ATHENS, GA 30606-0517
(706) 461-0320

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
CNA0030021654
GA
251J00000X
Nursing Care Agency
Primary
CN0030021654
GA
376K00000X
Nurse's Aide
CN0030021654
GA

Other

Enumeration date
12/06/2023
Last updated
12/06/2023
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