Organization
TREE OF LIFE HEATHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOWELL CLIATT (PRESIDENT / CEO)
(706) 225-0355
Entity
Organization
Contact information
Practice address
1968 NORTH AVE, COLUMBUS, GA 31901-1525
(706) 225-0355
(706) 225-0360
Mailing address
PO BOX 9205, COLUMBUS, GA 31908-9205
(706) 225-0355
(706) 225-0360
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RN085223
GA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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