Organization
HATTIE'S HOME AWAY FROM HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HATTIE MAE WHITE CMA, CAREGIVER (PRESIDENT)
(404) 493-2944
Entity
Organization
Contact information
Practice address
8885 DORSEY ROAD, RIVERDALE, GA 30274
(404) 493-2944
Mailing address
8885 DORSEY ROAD, RIVERDALE, GA 30274
(404) 493-2944
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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