Organization
LIVING HOPE RESIDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON TENEBE (OWNER)
(401) 241-7859
Entity
Organization
Contact information
Practice address
6387 BIMINI DR, FOREST PARK, GA 30297-3447
(401) 241-7859
Mailing address
509 PLUMB BRANCH CT, MCDONOUGH, GA 30253-7585
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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