Lum Personal Care Home, LLC

NPI #1467960039 in Canton, Georgia

Provider Information

NPI Number
1467960039
Entity Type
Organization
Organization Name
Lum Personal Care Home, LLC
Primary Specialty
Nursing Care
Enumeration Date
Jan 17, 2018
Last Updated
Jan 17, 2018

Practice Location

Address
1132 COPPER CREEK DR
City
Canton
State
Georgia
ZIP Code
30114-8178
Phone
(631) 885-5510

Authorized Official

Name
MRS. ANNIE LUM, RN
Title
DIRECTOR/OWNER
Phone
(631) 885-5510

Specialties & Taxonomy Codes

Specialty
Nursing Care

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