Organization
PEACEFUL LOVE & CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN LYN HAMMPMD HHA (HOME HEALTH AIDE)
(770) 374-0862
Entity
Organization
Contact information
Practice address
815 PINE ROC DR, STONE MOUNTAIN, GA 30083-3521
(770) 374-0862
(470) 299-3170
Mailing address
815 PINE ROC DR, STONE MOUNTAIN, GA 30083-3521
(770) 374-0862
(470) 299-3170
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
CN0019212211
GA
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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