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Organization
UNTAPPED POTENTIAL
Active
Organization
UNTAPPED POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZEFFON WILLS (CEO/OWNER)
(404) 781-7536
Entity
Organization
Contact information
Practice address
8159 W HIGHWAY 136, CHICKAMAUGA, GA 30707-4069
(404) 781-7536
Mailing address
8159 W HIGHWAY 136, CHICKAMAUGA, GA 30707-4069
(404) 781-7536
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
NULL
146D00000X
Personal Emergency Response Attendant
—
—
174200000X
Meals Provider
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
332U00000X
Home Delivered Meals
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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