Healthcare Provider Details

I. General information

NPI: 1033279146
Provider Name (Legal Business Name): LEMONS RESPITE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 RIDGE RD
NORWOOD GA
30821-5909
US

IV. Provider business mailing address

85 RIDGE RD
NORWOOD GA
30821-5909
US

V. Phone/Fax

Practice location:
  • Phone: 706-465-3200
  • Fax: 706-465-0040
Mailing address:
  • Phone: 706-465-3200
  • Fax: 706-465-0040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAMMIE ANN LEMONS
Title or Position: MANAGER
Credential:
Phone: 706-465-3200