# WISBA HOME CARE AND PROFESSIONAL CAREER CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1881107118
- **Authorized official:** JEAN W BASTIA NP (OWNER ADMINISTRATOR CEO)
- **Authorized official phone:** (678) 425-4030

## Contact information

- **Practice address:** 2220 ATLANTA RD SE STE 103, SMYRNA, GA 30080-1541
- **Practice address phone:** (800) 413-9066
- **Mailing address:** PO BOX 1915, KENNESAW, GA 30156-8915
- **Mailing address phone:** (678) 696-9905
- **Mailing address fax:** (800) 410-2504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 033-R-1532 | GA | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 11/08/2017