# TRANSITIONAL GEORGIA LLC

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

## Provider details

- **NPI number:** 1689982670
- **Authorized official:** LATANYALIKA S BOATWRIGHT (MANAGING MEMBER)
- **Authorized official phone:** (678) 230-8229

## Contact information

- **Practice address:** 9546 CARNES CROSSING CIR, JONESBORO, GA 30236-6279
- **Practice address phone:** (678) 230-8229
- **Practice address fax:** (404) 935-9630
- **Mailing address:** 2931 STREAM VW, ATLANTA, GA 30349-7982
- **Mailing address phone:** (678) 230-8229
- **Mailing address fax:** (404) 935-9630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 031012859 | GA | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010