T&m Special Carem Llc | |
1947 Lown Farm Trl Lithonia GA 30058-8958 | |
(770) 873-0988 | |
Not Available |
Full Name | T&m Special Carem Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1947 Lown Farm Trl, Lithonia, Georgia |
Authorized Official Name and Position | Doricia Thompson (ADMINISTRATOR) |
Authorized Official Contact | 7708730988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
T&m Special Carem Llc 1947 Lown Farm Trl Lithonia GA 30058-8958 Ph: () - | T&m Special Carem Llc 1947 Lown Farm Trl Lithonia GA 30058-8958 Ph: (770) 873-0988 |
NPI Number | 1043572761 |
---|---|
Provider Enumeration Date | 06/08/2012 |
Last Update Date | 06/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043572761 | NPI | - | NPPES |
597996556H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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