MEDICARE: LEMERE FOSTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1124709324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEMERE FOSTER

Provider Business Mailing Address
First Line	:	3358 BARTLETT AVE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-7503
Country	:	US
Telephone Number	:	404-849-6893
Fax Number	:

Provider Business Practice Location Address
First Line	:	3358 BARTLETT AVE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-7503
Country	:	US
Telephone Number	:	404-849-6893
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	07/31/2023

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Directions to “ LEMERE FOSTER ” Practice Location

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