House Of Preparation, Llc | |
110 Eagle Spring Dr Suite D Stockbridge GA 30281-6488 | |
(866) 945-9685 | |
(866) 945-9685 |
Full Name | House Of Preparation, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 110 Eagle Spring Dr, Stockbridge, Georgia |
Authorized Official Name and Position | Casandra Jones (BUSINESS MANAGER) |
Authorized Official Contact | 8669459685 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
House Of Preparation, Llc Po Box 321 Mcdonough GA 30253-0321 Ph: (866) 945-9685 | House Of Preparation, Llc 110 Eagle Spring Dr Suite D Stockbridge GA 30281-6488 Ph: (866) 945-9685 |
NPI Number | 1356671531 |
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Provider Enumeration Date | 01/11/2010 |
Last Update Date | 02/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356671531 | NPI | - | NPPES |
858969128A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 441931037035 (Georgia) | Primary |
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