Organization
LE'FEVRE PERSONAL CARE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATASHA L HINSON (DIRECTOR)
(770) 556-5500
Entity
Organization
Contact information
Practice address
1175 OLD HARRIS RD, APT. 1013, DALLAS, GA 30157-8253
(770) 556-5500
(770) 556-5500
Mailing address
5200 DALLAS HWY, STE. 200-210, POWDER SPRINGS, GA 30127-6318
(770) 556-5500
(770) 556-5500
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
GA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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