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Organization
GREENLEAF FAMILY CENTERS INC.
Active
Organization
GREENLEAF FAMILY CENTERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TONICA ANGEL LOGAN (CEO)
(336) 317-9633
Entity
Organization
Contact information
Practice address
4775 JIMMY CARTER BLVD STE 300, NORCROSS, GA 30093-3760
(678) 894-0288
Mailing address
4775 JIMMY CARTER BLVD STE 300, NORCROSS, GA 30093-3760
(678) 894-0288
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/27/2021
Last updated
05/15/2026
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