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LAFAYETTE MEDICAL AND ALTERNATIVE HEALTH

Adult Care Home

Tucker, Georgia

Provider NPI: 1174776314

Organization Information:
Organization Name:  LAFAYETTE MEDICAL AND ALTERNATIVE HEALTH


Practice Location:
4500 HUGH HOWELL RD 320 TUCKER, GA 30084 US
Tel: 770-621-9405  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
GA041157352
N314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
GA04115352
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
GA041157352

Other Provider Identifiers:

IssuerNumberStateType
LICENSE NURSE041157362GA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS GA - Page 1



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