Organization · NPI-2
Inexequation LLC
Residential Treatment Facility, Physical Disabilities · Lithonia, GA
NPI number1508223801
StatusActive
Last updated in NPPESJan 19, 2016
Details
- NPI
- 1508223801
- Entity type
- Organization (NPI-2)
- Legal business name
- Inexequation LLC
- Organization subpart
- No
- Enumeration date
- Jan 19, 2016
- Last updated
- Jan 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320700000X | Residential Treatment Facility, Physical Disabilities | 15104206 | GA | Yes |
Practice location
5850 Hillandale DrLithonia, GA 30058
Phone 678-876-6414
Mailing address
5850 Hillandale DrLithonia, GA 30058-4927
Phone 678-876-6413
Authorized official
Andre Lamar Fernandez
Workplace Wellness
6788766413
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