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Organization

ETERNAL HOPE AND LIFE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN PRESTON DENNARD (CO-CEO)
(404) 591-5131
Entity
Organization

Contact information

Practice address
7349 POPPY WAY, UNION CITY, GA 30291-3411
(404) 591-5131
(404) 420-2483
Mailing address
2045 MT. ZION RD, #337, MORROW, GA 30260
(404) 591-5131
(404) 420-2483

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/24/2010
Last updated
08/24/2010
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