Organization
LOVELY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONISE BIASSOUS (FOUNDER)
(267) 407-6521
Entity
Organization
Contact information
Practice address
931 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-4352
(267) 407-6521
Mailing address
931 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-4352
(267) 407-6521
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCH010075
PERSONAL CARE HOME PERMIT
GA
Enumeration date
06/10/2021
Last updated
06/10/2021
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