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Organization
KEYANNA PROFESSIONAL SERVICES, LTD COMPANY
Active
Organization
KEYANNA PROFESSIONAL SERVICES, LTD COMPANY
Active
Other names
KPS
Organization subpart
No
Provider details
NPI number
Authorized official
KEYANNA MOSS MBA (CEO)
(470) 553-8500
Entity
Organization
Contact information
Practice address
1160 CLEVELAND RD, FORT VALLEY, GA 31030-9654
(470) 550-8882
Mailing address
PO BOX 112, SPARTA, GA 31087-0112
(470) 553-8500
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
335G00000X
Medical Foods Supplier
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/05/2024
Last updated
11/15/2025
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