# EXTENDED HANDS OF GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093142655
- **Authorized official:** DENNIE SHEATS (PRESIDENT/CEO)
- **Authorized official phone:** (404) 316-1558

## Contact information

- **Practice address:** 5450 LEMOYNE DR SW, ATLANTA, GA 30331-9206
- **Practice address phone:** (404) 316-1558
- **Mailing address:** 5450 LEMOYNE DR SW, ATLANTA, GA 30331-9206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1501024654 | GA | — |
| 251G00000X | Community Based Hospice Care Agency | 1501024654 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | — | GA | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 1501024654 | GA | — |
| 347C00000X | Private Vehicle | 1501024654 | GA | — |

## Other

- **Enumeration date:** 09/27/2013
- **Last updated:** 09/27/2013