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Octavia House, Llc
Respite Care in Fayetteville, Georgia
NPI 1225372998

Octavia House, Llc is a Respite Care based in Fayetteville, GA. Octavia House, Llc practices in Fayetteville, GA. The NPI Number for Octavia House, Llc is 1225372998 and holds a License No. (Georgia).

The current practice location address for Octavia House, Llc is 105 Genevieve Ct, Fayetteville, GA and can be reached out via phone at 404-429-1752.

Location: 105 Genevieve Ct, Fayetteville, GA, 30215-4803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225372998
Provider Name
Octavia House, Llc
Credential
Provider Entity Type
Organization
Address
105 Genevieve Ct, Fayetteville, GA, 30215-4803
Phone Number
404-429-1752
Fax Number
Provider Enumeration Date
11/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 Genevieve Ct
City
Fayetteville
State
Georgia
Zip
30215-4803
Phone Number
404-429-1752
Fax Number
person
Provider Business Mailing Address Details
Address
105 Genevieve Ct
City
Fayetteville
State
Georgia
Zip
30215-4803
Phone Number
404-429-1752
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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