Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X |
| NPI # | 1184340184 |
| LBN Legal business name | A PLACE TO CALL HOME, LLC |
| Authorized official | MICHELLE SIMMONS - (OWNER ARNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/12/2022 |
| Last updated | 10/12/2022 - About 4 years ago |
| Identifiers | n/a |
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