Organization
LOSTEF GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE BAILEY (OWNER)
(256) 522-8818
Entity
Organization
Contact information
Practice address
1204 HENRY DR, ATHENS, AL 35611-3587
(256) 522-8818
Mailing address
1204 HENRY DR, ATHENS, AL 35611-3587
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
11/09/2021
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