Provider Demographics
NPI:1033279146
Name:LEMONS RESPITE CARE
Entity Type:Organization
Organization Name:LEMONS RESPITE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-465-3200
Mailing Address - Street 1:85 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30821-5909
Mailing Address - Country:US
Mailing Address - Phone:706-465-3200
Mailing Address - Fax:706-465-0040
Practice Address - Street 1:85 RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:GA
Practice Address - Zip Code:30821-5909
Practice Address - Country:US
Practice Address - Phone:706-465-3200
Practice Address - Fax:706-465-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA692680856BMedicaid
GA692680856AMedicaid