# MQA ENRICHMENT SERVICES LLC

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

## Provider details

- **NPI number:** 1588442883
- **Authorized official:** DENISE WIGGINS (CEO)
- **Authorized official phone:** (919) 339-3474

## Contact information

- **Practice address:** 5300 MEMORIAL DR STE 121, STONE MOUNTAIN, GA 30083-3154
- **Practice address phone:** (919) 339-3474
- **Mailing address:** 5300 MEMORIAL DR STE 121, STONE MOUNTAIN, GA 30083-3154
- **Mailing address phone:** (919) 339-3474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2023
- **Last updated:** 09/18/2023