A Touch Of Home
Registered Nurse in Lithonia, GA. Organization (NPI-2).
NPI number1053617688
StatusActive
Last updated in NPPESJan 30, 2011
Details
- NPI
- 1053617688
- Entity type
- Organization (NPI-2)
- Legal business name
- A Touch Of Home
- Organization subpart
- No
- Enumeration date
- Jan 30, 2011
- Last updated
- Jan 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 179755 | GA | Yes |
Practice location
6312 Windy Ridge WayLithonia, GA 30058-6630
Phone 678-526-5095 · Fax 678-526-5095
Mailing address
6312 Windy Ridge WayLithonia, GA 30058-6630
Phone 678-526-5095 · Fax 678-526-5095
Authorized official
Geneve Deon Clarke
Registered Nurse
6785265095
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