Organization
NANAS ADULT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY FAVORS (OWNER)
(404) 955-2476
Entity
Organization
Contact information
Practice address
8064 MALONE ST, DOUGLASVILLE, GA 30134-1237
(404) 955-2476
Mailing address
8064 MALONE ST, DOUGLASVILLE, GA 30134-1237
(404) 955-2476
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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