Organization
LOUDEN FAIRFAX CARE LLC
Active
Other names
Louden Fairfax Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN COLBY THOMAS REP (BUSINESS MANAGER)
(912) 741-8980
Entity
Organization
Contact information
Practice address
207 INSTITUTE ST, STATESBORO, GA 30458-0920
(912) 741-8980
Mailing address
207 INSTITUTE ST, STATESBORO, GA 30458-0920
(912) 741-8980
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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