Privatecarenursingservicellc
NPI #1922424886 in Loganville, Georgia
Provider Information
- NPI Number
- 1922424886
- Entity Type
- Organization
- Organization Name
- Privatecarenursingservicellc
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 14, 2014
- Last Updated
- Mar 14, 2014
Practice Location
- Address
- 3200 SUMMIT PLACE DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-5334
- Phone
- (386) 846-1793
Authorized Official
- Name
- ATHENA TOLIVER
- Title
- ADMINSTOR
- Phone
- (386) 846-1793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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