Organization
CROWNS OF LOVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRYCE GOLLIDAY (FOUNDER)
(404) 319-3544
Entity
Organization
Contact information
Practice address
707 PARK AVE NE APT 1382, ATLANTA, GA 30326-3410
(404) 319-3544
Mailing address
707 PARK AVE NE APT 1382, ATLANTA, GA 30326-3410
(404) 319-3544
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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