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1407114879
DIVINE ALTERNATIVE PERSONAL CARE HOME
LITHONIA, GA
NPI
1407114879
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Entity Type
Organization
Authorized Contact
LA TANYA LESTER-HAYES
CEO
404-981-4056
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2012-04-24
Last Update Date
2012-04-24
Business Address
DIVINE ALTERNATIVE PERSONAL CARE HOME
1728 RICE SQ
LITHONIA, GA 30058-3257
Phone number: 404-981-4056
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Mailing Address
DIVINE ALTERNATIVE PERSONAL CARE HOME
1728 RICE SQUARE
LITHONIA, GA 30058
Phone number:
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