Whalio Doctors

NPI 1154769834

Lady C Services LLC.

Organisation Point of Service Stone Mountain, GA

Practice location

Address
5152 Memorial Dr Unit 830627, Stone Mountain, GA 30083-0106
Phone
(404) 838-9513

Authorised official

Name
Connielynne Williamson
Title
Owner
Phone
(404) 838-9513

Registered specialties (3)

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X
Home Health Agency
Agencies Taxonomy 251E00000X
Community Based Hospice Care Agency
Agencies Taxonomy 251G00000X

Registry record

NPI
1154769834
Entity type
Organization
NPI issued
4 Jun 2013
Record last updated
4 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.