# UNTAPPED POTENTIAL

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

## Provider details

- **NPI number:** 1134723158
- **Authorized official:** MR. ZEFFON WILLS (CEO/OWNER)
- **Authorized official phone:** (404) 781-7536

## Contact information

- **Practice address:** 8159 W HIGHWAY 136, CHICKAMAUGA, GA 30707-4069
- **Practice address phone:** (404) 781-7536
- **Mailing address:** 8159 W HIGHWAY 136, CHICKAMAUGA, GA 30707-4069
- **Mailing address phone:** (404) 781-7536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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
