FIRST LOVE PERSONAL CARE HOME, INC.
Managed Care Organizations at Wrightsboro Rd, Augusta, GA

License number
Georgia 121014269
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MRS. CELESTA CAROL LISENBEE
Title: PRESIDENT/OWNER
Phone: (706) 533-5469
Address
Address
2403 Wrightsboro Rd, Augusta, GA 30904
National Provider ID: 1609151760
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FIRST LOVE PERSONAL CARE HOME, INC

2403 Wrightsboro Rd, Augusta, GA 30904

Status:
Inactive
Industry:
Nursing/Personal Care
Registration:
Jan 22, 2007
State ID:
07006345
Business type:
Domestic Nonprofit Corporation
Secretarys:
Carol Celesta Lisenbee (CEO), 1256 Hernlen St, Augusta, GA 30901 (Physical),Elizabeth Watts (Secretary), 1600 Whitney Rd, Augusta, GA 30904 (Physical),Frederick Sammie Lisenbee (CFO), 1256 Hernlen St, Augusta, GA 30901 (Physical),...
Agent:
Celesta Carol Lisenbee,1256 Hernlen St, Augusta, GA (Physical)

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