Individual
LAURA ELIZABETH CAYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
648 MIMOSA BLVD, ROSWELL, GA 30075-4406
(770) 643-1712
(770) 552-9502
Mailing address
648 MIMOSA BLVD, ROSWELL, GA 30075-4406
(770) 643-1712
(770) 552-9502
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
060-R-0044
GA
253Z00000X
In Home Supportive Care Agency
Primary
060-R-0044
GA
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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