# CHAMPION COMPANIONS OF ATLANTA LLC

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

## Provider details

- **NPI number:** 1316451586
- **Authorized official:** JENNIFER L SIMPSON (OWNER)
- **Authorized official phone:** (404) 474-0722

## Contact information

- **Practice address:** 3100 LUMBY DR APT 626, DECATUR, GA 30034-7602
- **Practice address phone:** (404) 474-0722
- **Practice address fax:** (404) 521-4185
- **Mailing address:** 3100 LUMBY DR APT 626, DECATUR, GA 30034-7602
- **Mailing address phone:** (404) 474-0722
- **Mailing address fax:** (404) 521-4185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 044-R-1839 | GA | Yes |

## Other

- **Enumeration date:** 11/27/2017
- **Last updated:** 11/27/2017
