Individual
MARY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 453, LITHIA SPRINGS, GA 30122-0453
(678) 252-9502
Mailing address
PO BOX 453, LITHIA SPRINGS, GA 30122-0453
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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