Organization
OURTIME PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA HUBBBARD PORTER MASTER SOCIAL WORKER (ADMINISTRATOR)
(404) 661-0981
Entity
Organization
Contact information
Practice address
6686 PRINCETON PARK CT, LITHONIA, GA 30058-3073
(404) 661-0981
Mailing address
6686 PRINCETON PARK CT, LITHONIA, GA 30058-3073
(404) 661-0981
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
GA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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