Individual
MR. LACHARLES WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 COLLINS LN, DOUGLASVILLE, GA 30134-7199
(662) 582-5815
Mailing address
12 COLLINS LN, DOUGLASVILLE, GA 30134-7199
(662) 582-5815
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
GA
376J00000X
Homemaker
Primary
—
GA
Other
Enumeration date
06/24/2021
Last updated
09/15/2021
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