NPI 1467960039

Lum Personal Care Home, LLC

Organisation Nursing Care Agency Canton, GA

Practice location

Address: 1132 Copper Creek Dr, Canton, GA 30114-8178
Phone: (631) 885-5510

Authorised official

Name: Annie Lum
Title: Director/Owner
Phone: (631) 885-5510

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence RN235987 (GA)

Other Nursing Care providers in Georgia →

Registry record

NPI: 1467960039
Entity type: Organization
NPI issued: 17 Jan 2018
Record last updated: 17 Jan 2018

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.