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Lifeguide, Inc
Primary Care Clinic/Center in Lilburn, Georgia
NPI 1508078973

Lifeguide, Inc is a Primary Care Clinic/Center based in Forest Park, GA and is specialized in Primary Care. Lifeguide, Inc practices in Lilburn, GA. The NPI Number for Lifeguide, Inc is 1508078973 and holds a License No. 031-R-0050 (Georgia).

The current practice location address for Lifeguide, Inc is 656 Indian Trail Lilburn Rd Nw Ste 208, Lilburn, GA and can be reached out via phone at 770-557-1079.

Location: 656 Indian Trail Lilburn Rd Nw Ste 208, Lilburn, GA, 30297-6142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508078973
Provider Name
Lifeguide, Inc
Credential
Provider Entity Type
Organization
Address
656 Indian Trail Lilburn Rd Nw Ste 208, Lilburn, GA, 30297-6142
Phone Number
770-557-1079
Fax Number
Provider Enumeration Date
05/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
276046116A 05 GA
838117320A 05 GA
institution
Provider Business Practice Location Address Details
Address
656 Indian Trail Lilburn Rd Nw Ste 208
City
Lilburn
State
Georgia
Zip
30047-6872
Phone Number
770-557-1079
Fax Number
person
Provider Business Mailing Address Details
Address
656 Indian Trail Lilburn Rd Nw Ste 208
City
Lilburn
State
Georgia
Zip
30047-6872
Phone Number
770-557-1079
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
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Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
031-R-0050 (Georgia)
Definition
Definition to come...
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