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Organization
WISH HEALTH SERVICES OF GEORGIA
Active
Organization
WISH HEALTH SERVICES OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIMYEREIA RAILYNN LEWIS-JONES (OWNER)
(504) 669-4209
Entity
Organization
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(404) 000-0000
Mailing address
PO BOX 750423, NEW ORLEANS, LA 70175-0423
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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