Individual provider · NPI-1
Glynis Leflore, LPN
Licensed Practical Nurse · Mableton, GA
NPI number1215637772
StatusActive
Last updated in NPPESMar 3, 2023
Details
- NPI
- 1215637772
- Entity type
- Individual (NPI-1)
- Name
- Glynis Leflore
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2023
- Certification date
- Mar 3, 2023
- Last updated
- Mar 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN094252 | GA | Yes |
| 101YP1600X | Counselor, Pastoral | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 374K00000X | Religious Nonmedical Practitioner | – | – | |
| 374T00000X | Religious Nonmedical Nursing Personnel | – | – | |
| 376G00000X | Nursing Home Administrator | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
4745 Legacy Cove LnMableton, GA 30126-2580
Phone 404-769-2464
Mailing address
4480 S Cobb Dr Se Unit H477Smyrna, GA 30080-6990
Phone 404-769-2464
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