HERITAGE MEDICAL HOUSE CALL
Agencies at Main St, Stone Mountain, GA

License number
Georgia 12018049
Category
Agencies
Type
Home Health
Owner
Name: MR. KEVIN ALEXANDER LANE SR. PA
Title: OWNER/MEMBER
Phone: (888) 461-9765
Address
Address
925 Main St SUITE 300-13, Stone Mountain, GA 30083
National Provider ID: 1063778983
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HERITAGE MEDICAL HOUSE CALL at bizstanding.com

HERITAGE MEDICAL HOUSE CALL SERVICE LLC

925 Main St SUITE 300, Stone Mountain, GA 30083

Registration:
Feb 28, 2012
State ID:
12018049
Business type:
Domestic Limited Liability Company
Agent:
United States Corporation Agents, Inc,1420 Southlake Plz Dr, Morrow, GA (Physical)

Heritage Medical House Call Service

4232 Executive Dr, Stone Mountain, GA 30083

Status:
Inactive
Industry:
Health/Allied Services
Owner, Principal:
Kevin A. Lane (Owner, Principal)

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