Individual
KYJUANA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 CRESTMARK BLVD, LITHIA SPRINGS, GA 30122-4431
(678) 481-3221
Mailing address
PO BOX 371156, DECATUR, GA 30037-1156
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374J00000X
Doula
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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