Provider profile · NPI 1104693225
A Place Like Home Respite Care Services
Nurse Practitioner · Lawrenceville, GA · NPI 1104693225 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Nurse Practitioner
Enumerated
Dec 8, 2023
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1269 NATHAN MAULDIN DR | Lawrenceville, GA 30043-7249 | 470-263-2806 |
| LOCATION | 1269 NATHAN MAULDIN DR | Lawrenceville, GA 30043-7249 | 470-263-2806 |
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