Organization
INEXEQUATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE LAMAR FERNANDEZ (WORKPLACE WELLNESS)
(678) 876-6413
Entity
Organization
Contact information
Practice address
5850 HILLANDALE DR, LITHONIA, GA 30058
(678) 876-6414
Mailing address
5850 HILLANDALE DR, LITHONIA, GA 30058-4927
(678) 876-6413
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
15104206
GA
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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