# PRAXIS LIVING SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1801311006
- **Authorized official:** MRS. NIKI TANYELL DAVIS LPN (OWNER)
- **Authorized official phone:** (404) 798-9646

## Contact information

- **Practice address:** 1403 WINDY HILL CT SE, CONYERS, GA 30013-2971
- **Practice address phone:** (404) 798-9646
- **Mailing address:** 1403 WINDY HILL CT SE, CONYERS, GA 30013-2971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 122-R-1845 | GA | Yes |

## Other

- **Enumeration date:** 08/08/2017
- **Last updated:** 08/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 122-R-1845 | PRIVATE HOME CARE PROVIDER | GA |