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Organization

SACRED SEASONS LIFE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEAESHA LYNETTE HOUSTON DO (PHYSICIAN)
(678) 923-3973
Entity
Organization

Contact information

Practice address
715 BAILEY WOODS RD, DACULA, GA 30019-1233
(678) 923-3973
Mailing address
470 DACULA ROAD PO BOX 1424, 715 BAILEY WOODS ROAD DACULA, GA 30019, DACULA, GA 30019-3001
(678) 923-3973

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/12/2025
Last updated
08/12/2025
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