Organization
PHOENIX HAVEN AFRICA INC.
Active
Organization
PHOENIX HAVEN AFRICA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TATO GAYFLORSEE ADMINISTRATOR, MPA (EXECUTIVE DIRECTOR)
(404) 437-9073
Entity
Organization
Contact information
Practice address
115 E MAIN ST, BUFORD, GA 30518-5727
(470) 593-8438
Mailing address
3808 PROSPECT POINT DR, OAKWOOD, GA 30566-0350
(470) 872-7208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
146D00000X
Personal Emergency Response Attendant
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
332U00000X
Home Delivered Meals
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up