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Organization

LIFE CIRCLE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE BASILE (REGISTERED NURSE)
(678) 431-4928
Entity
Organization

Contact information

Practice address
828 COPPER MIST CT, GRAYSON, GA 30017-1926
(678) 431-4928
Mailing address
828 COPPER MIST CT, GRAYSON, GA 30017-1926
(678) 431-4928

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary

Other

Enumeration date
02/13/2026
Last updated
02/13/2026
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