Organization
MODIFY HEALTH INC
Active
Other names
Modify Health, ModifyHealth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE PRATT (CEO)
(770) 519-5503
Entity
Organization
Contact information
Practice address
190 BLUEGRASS VALLEY PKWY, ALPHARETTA, GA 30005-2204
(888) 766-3439
Mailing address
190 BLUEGRASS VALLEY PKWY, ALPHARETTA, GA 30005-2204
(888) 766-3439
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
172V00000X
Community Health Worker
Primary
—
—
174200000X
Meals Provider
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
10/01/2021
Last updated
08/12/2024
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