# AT MY PLACE, MY HOME LLC

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

## Provider details

- **NPI number:** 1659835957
- **Authorized official:** DOREE IGMAN (OWNER)
- **Authorized official phone:** (470) 848-2982

## Contact information

- **Practice address:** 483 GLENNS FARM LN, GRAYSON, GA 30017-4921
- **Practice address phone:** (470) 848-2982
- **Mailing address:** 3050 FIVE FORKS TRICKUM RD SW STE D, LILBURN, GA 30047-5067
- **Mailing address phone:** (470) 848-2982

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2019
- **Last updated:** 07/07/2023