Lucy'S Personal Care LLC

Organization Active NPI Assisted Living Facility · Bogart, GA

NPI 1538544697 · NPPES record last updated Jul 29, 2015

Key facts

NPI
1538544697
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
PCH008602 (GA)
Legal business name
LUCY'S PERSONAL CARE LLC
Practice address
2002 Cleveland Rd
Bogart, GA 30622-1644
Phone
(770) 725-7762
Fax
(770) 725-2192
NPI assigned
Jul 29, 2015
Organization subpart
No

Authorized official

Name
Mrs. Vera Giles
Title
Owner
Phone
(770) 725-7943

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PCH008602 GA Yes

Addresses

Primary practice location

2002 Cleveland Rd
Bogart, GA 30622-1644

Mailing address

217 Fowler Mill Rd
Bogart, GA 30622-1613
Phone (770) 725-7943

Other providers in Bogart, GA

All providers in Bogart, GA · Assisted Living Facility in Georgia

Sources for this page

Verify at the official NPI Registry.