# OURWAY DEMENTIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ourway Dementia Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457089724
- **Authorized official:** CHANTELLE JOHNSON JOHNSON (OWNER/ DEMENTIA SPECIALIST)
- **Authorized official phone:** (470) 726-0405

## Contact information

- **Practice address:** 1220 LAMBETH WAY SE, CONYERS, GA 30013-1753
- **Practice address phone:** (470) 726-0405
- **Practice address fax:** (678) 550-9941
- **Mailing address:** 1220 LAMBETH WAY SE, CONYERS, GA 30013-1753
- **Mailing address phone:** (678) 338-5812
- **Mailing address fax:** (678) 550-9941

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2022
- **Last updated:** 08/12/2022