Loving Care Assisted Living
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Auburn, GA
NPI 1083870547 · NPPES record last updated Aug 4, 2008
Key facts
- NPI
- 1083870547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 061013021 (GA)
- Legal business name
- LOVING CARE ASSISTED LIVING
- Practice address
- 854 Port West Dr
Auburn, GA 30011-4608 - Phone
- (678) 225-5687
- NPI assigned
- Aug 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Roselie Lebranche
- Title
- Ceo
- Phone
- (678) 225-5687
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 061013021 | GA | Yes |
Addresses
Primary practice location
854 Port West Dr
Auburn, GA 30011-4608
Mailing address
2666 Kachina TRL
Dacula, GA 30019-7023
Phone (678) 225-5687
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All providers in Auburn, GA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.