Organization
IDA'S COVE
Active
Other names
LITTLE DEBBIE'S COMMUNITY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA STIGGERS (CEO)
(770) 912-3742
Entity
Organization
Contact information
Practice address
4280 MEMORIAL DR STE C, DECATUR, GA 30032-1216
(770) 912-3742
Mailing address
4280 MEMORIAL DR STE C, DECATUR, GA 30032-1216
(770) 912-3742
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
03/17/2018
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