Organization
GINA'S LOVE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA KAY JOHNSON RN (CCO)
(678) 505-0299
Entity
Organization
Contact information
Practice address
779 BRASELTON HWY, LAWRENCEVILLE, GA 30043-4510
(816) 309-9733
(678) 404-7435
Mailing address
779 BRASELTON HWY, LAWRENCEVILLE, GA 30043-4510
(816) 309-9733
(678) 404-7435
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN232573
GEORGIA BOARD OF NURSING
GA
Enumeration date
12/04/2019
Last updated
12/04/2019
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