| Lous Personal Care Home Llc | |
|
2119 Tillman St Columbus GA 31906-3616 | |
| (706) 984-0971 | |
| Not Available |
| Full Name | Lous Personal Care Home Llc |
|---|---|
| Speciality | Assisted Living Facility |
| Location | 2119 Tillman St, Columbus, Georgia |
| Authorized Official Name and Position | Ralph Ligon (OWNER) |
| Authorized Official Contact | 6786347565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lous Personal Care Home Llc 2119 Tillman St Columbus GA 31906-3616 Ph: (706) 984-0971 | Lous Personal Care Home Llc 2119 Tillman St Columbus GA 31906-3616 Ph: (706) 984-0971 |
| NPI Number | 1548067069 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548067069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 310400000X | Assisted Living Facility | (* (Not Available)) | Primary |
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