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Organization

PELAGIE FOUNDATION LTD

Active
Other names
Pelagie Resource Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRIST-LEE LIZAIRE-GANTHIER (CEO)
(470) 356-6285
Entity
Organization

Contact information

Practice address
2055 GEES MILL RD NE STE 326, CONYERS, GA 30013-1364
(470) 356-6285
Mailing address
2055 GEES MILL RD NE STE 326, CONYERS, GA 30013-1364
(470) 356-6285

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
GA
171R00000X
Interpreter
174200000X
Meals Provider
GA
177F00000X
Lodging Provider
GA
251B00000X
Case Management Agency
Primary
251E00000X
Home Health Agency
251V00000X
Voluntary or Charitable Agency
253Z00000X
In Home Supportive Care Agency
GA
261Q00000X
Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
261QP2300X
Primary Care Clinic/Center
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
332B00000X
Durable Medical Equipment & Medical Supplies
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle

Other

Enumeration date
06/18/2018
Last updated
06/07/2025
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