# RAVIK FOUNDATION INC.

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

## Provider details

- **NPI number:** 1871131813
- **Authorized official:** JARED JEFFRIES (OWNER)
- **Authorized official phone:** (678) 462-2577

## Contact information

- **Practice address:** 1343 BUSINESS CENTER DR SW STE B, CONYERS, GA 30094-6609
- **Practice address phone:** (855) 587-2845
- **Mailing address:** 4715 CLEVELAND RD, LITHONIA, GA 30038-2610
- **Mailing address phone:** (678) 462-2577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 171WH0202X | Home Modifications Contractor | — | NULL | — |
| 171WH0202X | Home Modifications Contractor | — | — | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | NULL | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | — | — |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2019
- **Last updated:** 01/06/2020