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Organization

LOTUS ADULT DAY CENTER. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NAYNA PATEL (CO-FOUNDER)
(678) 653-4775
Entity
Organization

Contact information

Practice address
4595 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5514
(678) 653-4775
(770) 627-4235
Mailing address
4595 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5514
(678) 653-4775
(770) 627-4235

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC000176
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ADC000176
STATE PERMIT FOR ADULT DAY CENTER
GA
Enumeration date
06/27/2017
Last updated
07/21/2022
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