# INTABWE COMMUNITY,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intabwe community,Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912605379
- **Authorized official:** MR. JEROME NDIKUMUKIZA (DIRECTOR)
- **Authorized official phone:** (404) 964-2147

## Contact information

- **Practice address:** 3938 E PONCE DE LEON AVE STE D, CLARKSTON, GA 30021-8104
- **Practice address phone:** (404) 964-2147
- **Mailing address:** 605 ASHLEY PL, STONE MOUNTAIN, GA 30083-3395
- **Mailing address phone:** (404) 964-2147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2023
- **Last updated:** 09/18/2023