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Organization

OCCEUS HOLISTIC CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERLLANNE OCCEUS RN (OWNER)
(239) 738-8688
Entity
Organization

Contact information

Practice address
734 ROBIN HOOD DR, HINESVILLE, GA 31313
(239) 738-8688
Mailing address
734 ROBIN HOOD DR, HINESVILLE, GA 31313-3985
(239) 738-8688

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
PCH003426
GA

Other

Enumeration date
02/27/2018
Last updated
03/14/2019
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