Organization
TREE OF LIFE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER TARA HUGHLEY GRIER (MANAGING DIRECTOR)
(706) 333-8728
Entity
Organization
Contact information
Practice address
2451 W POINT RD, LAGRANGE, GA 30240-3909
(706) 333-8728
Mailing address
PO BOX 3304, LAGRANGE, GA 30241-0067
(706) 333-8728
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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