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General NPI Number Information
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NPI Number | 1396106209
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Entity Type | Organization
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Legal Business Name | GEES HOPE AND CARING AGENCY, LLC
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Dates
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Enumeration Date | 03/19/2016
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Last Update Date | 03/19/2016
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Provider Practice Location Address
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Address Line | 1360 OX BRIDGE WAY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5373
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Country | US
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Telephone | 404-432-8287
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Fax | 770-559-1203
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Provider Business Mailing Address
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Address Line | 1360 OX BRIDGE WAY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5373
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Country | US
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Telephone |
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Fax | 770-559-1203
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GEEBLY CECELIA SUNGBEH
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Credential | MSW
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Telephone | 404-432-8287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 067R1501
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License Number State | GA
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