License Type Code = General
License Number = 1000209
Licensee Name = LAUREL BAYE HEALTHCARE OF MACON
Business Name = LAUREL BAYE HEALTHCARE OF MACON
Business Address Line1 = 505 COLISEUM DR
Business Address Line2 =
Business Address Line3 =
Business City = MACON
Business State = GA
Business Zip = 31217
Primary Phone = (478) 743-8687
Contact Name = COVENANT DOVE HEALTHCARE OF MACON LLC
License Status = Active
Start Of Business Date = 2014-07-22
Out Of Business Date =
Contractor = No
Application Date = 2014-07-22
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