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1922549070
EDNA MAE LOCKETT PERSONAL CARE HOME
LITHONIA, GA
NPI
1922549070
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Entity Type
Organization
Authorized Contact
TAWANDA HORTON
Director
404-969-8079
Organization Subpart ?
No
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2017-03-08
Last Update Date
2017-03-08
Business Address
EDNA MAE LOCKETT PERSONAL CARE HOME
7566 UNION GROVE RD
LITHONIA, GA 30058-5081
Phone number: 404-969-8079
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Mailing Address
EDNA MAE LOCKETT PERSONAL CARE HOME
PO BOX 391371
SNELLVILLE, GA 30039-0023
Phone number: 404-969-8079
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