Mazie Douglas
Home Health in Lithonia, GA. Individual provider (NPI-1).
NPI number1124882428
StatusActive
Last updated in NPPESFeb 8, 2024
Details
- NPI
- 1124882428
- Entity type
- Individual (NPI-1)
- Name
- Mazie Douglas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2024
- Certification date
- Feb 8, 2024
- Last updated
- Feb 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – |
Practice location
1918 Panola RdLithonia, GA 30058-5520
Phone 404-597-2203
Mailing address
1918 Panola RdLithonia, GA 30058-5520
Phone 404-597-2203
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All 63 Home Health Agency providers in Lithonia · All 1,233 providers in Lithonia
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