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Organization

INSPIRE TO SERVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYL ANGELINA BAILEY LEE RN, MSN,CMSRN (ADMINISTRATOR)
(718) 213-5641
Entity
Organization

Contact information

Practice address
1079 DIXIE BELLE CT, LAWRENCEVILLE, GA 30045-3490
(718) 213-5641
Mailing address
1079 DIXIE BELLE CT, LAWRENCEVILLE, GA 30045-3490
(718) 213-5641

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/23/2021
Last updated
01/23/2021
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