Organization
LA TOYA S. GLENN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LA TOYA SHARON GLENN MS (ASSISTIVE TECHNOLOGY SPECIALIST)
(404) 229-4518
Entity
Organization
Contact information
Practice address
130 PEBBLE RIDGE DR, COVINGTON, GA 30014-8452
(404) 229-4518
Mailing address
130 PEBBLE RIDGE DR, COVINGTON, GA 30014-8452
(404) 229-4518
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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