Organization
CHANGING LIVES FAMILY CARE OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRINA BANKS (OWNER)
(757) 739-1666
Entity
Organization
Contact information
Practice address
100 BULL ST STE 200, SAVANNAH, GA 31401-3378
(757) 739-1666
(804) 884-3702
Mailing address
100 BULL ST STE 200, SAVANNAH, GA 31401-3378
(757) 739-1666
(804) 884-3702
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251E00000X
—
GA
05
—
3747P1801X
—
GA
Enumeration date
02/17/2021
Last updated
02/17/2021
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