Organization
CEDAR GROVE PCH LLC
Active
Other names
Laniece Appling
Organization subpart
No
Provider details
NPI number
Authorized official
LANIECE APPLING (OWNER/DIRECTOR)
(706) 743-6133
Entity
Organization
Contact information
Practice address
245 S WOODLAWN DR, CRAWFORD, GA 30630-2622
(706) 743-6133
Mailing address
245 S WOODLAWN DR, CRAWFORD, GA 30630-2622
(706) 743-6133
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
177F00000X
Lodging Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/22/2019
Last updated
03/29/2021
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