# NAG ENTERPRISE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Granny Nannies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225333925
- **Authorized official:** MS. NGIRI DENESE LAWRENCE (ADMINISTRATOR)
- **Authorized official phone:** (404) 530-0040

## Contact information

- **Practice address:** 3401 NORMAN BERRY DR, SUITE 276, EAST POINT, GA 30344-5121
- **Practice address phone:** (404) 530-0040
- **Practice address fax:** (404) 530-0045
- **Mailing address:** 3401 NORMAN BERRY DR, SUITE 276, EAST POINT, GA 30344-5121
- **Mailing address phone:** (404) 530-0040
- **Mailing address fax:** (404) 530-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | GA | Yes |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 01/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 610166556A | — | GA |