Harvestlodge Homes And Services For Children And Families

NPI 1467645044 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1467645044
Enumeration Date 08/27/2007
Last Updated 08/27/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DANNETTA B DANNETTA
Position CEO/DIRECTOR
Phone (770) 981-2903
Fax (770) 808-6648
Practice Location
4187 CONNOR DR.
ELLENWOOD GA, 30294, US
Phone (770) 981-2903
Fax (770) 808-6648
Business Location
3467 HUNTERS HILL DR
LITHONIA GA, 30038-1614, US
Phone (770) 981-2903
Fax (770) 808-6648
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Harvestlodge Homes And Services For Children And Families NPI is 1467645044, taxonomy code is 251S00000X Harvestlodge Homes And Services For Children And Families physically located at 4187 Connor Dr., Ellenwood GA, 30294. NPI Number 1033115704 has the healthcare provider type.

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1467645044 NPI number is provided on an as is basis without warranty of any kind. 1467645044 is maintained by the National Plan & Provider Enumeration System. The contents of Harvestlodge Homes And Services For Children And Families are for informational purposes only.