| NPI Details | |
|---|---|
| NPI | 1467645044 |
| Enumeration Date | 08/27/2007 |
| Last Updated | 08/27/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 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 | |
| Remove 1467645044 NPI Number | |
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.
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