| Eternal Hope And Life, Llc | |
|
7349 Poppy Way Union City GA 30291-3411 | |
| (404) 591-5131 | |
| (404) 420-2483 |
| Full Name | Eternal Hope And Life, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7349 Poppy Way, Union City, Georgia |
| Authorized Official Name and Position | Ryan Preston Dennard (CO-CEO) |
| Authorized Official Contact | 4045915131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eternal Hope And Life, Llc 2045 Mt. Zion Rd #337 Morrow GA 30260 Ph: (404) 591-5131 | Eternal Hope And Life, Llc 7349 Poppy Way Union City GA 30291-3411 Ph: (404) 591-5131 |
| NPI Number | 1629384060 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629384060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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