# CROWNED LEGACY CARE

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

## Provider details

- **NPI number:** 1134024656
- **Authorized official:** MICHAEL SCOTT (ADMINISTRATOR)
- **Authorized official phone:** (769) 234-3959

## Contact information

- **Practice address:** 292 HUNT CREEK DR, ACWORTH, GA 30101-2289
- **Practice address phone:** (769) 234-3959
- **Mailing address:** 292 HUNT CREEK DR, ACWORTH, GA 30101-2289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2026
- **Last updated:** 10/13/2026