Organization
LORD SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA THOMAS CPC (DIRECTOR)
(678) 508-1267
Entity
Organization
Contact information
Practice address
54 DEVORE RD, ALPHARETTA, GA 30009-1941
(678) 508-1267
Mailing address
54 DEVORE RD, ALPHARETTA, GA 30009-1941
(678) 508-1267
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
GA
252Y00000X
Early Intervention Provider Agency
Primary
—
GA
253Z00000X
In Home Supportive Care Agency
—
GA
261QH0700X
Hearing and Speech Clinic/Center
—
GA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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