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Organization

LIGHT OF HOPE PERSONAL CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIZA MAE HUNDLEY (CEO/ MANGER)
(229) 494-9174
Entity
Organization

Contact information

Practice address
1010 E 6TH AVE, NASHVILLE, GA 31639-1747
(229) 494-9174
(229) 494-9174
Mailing address
1010 EAST 6TH STREET, NASHVILLE, GA 31639-0495
(229) 494-9174
(229) 494-9174

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PCH008499
GA

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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