Organization
NAG ENTERPRISE GROUP
Active
Other names
Granny Nannies
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NGIRI DENESE LAWRENCE (ADMINISTRATOR)
(404) 530-0040
Entity
Organization
Contact information
Practice address
3401 NORMAN BERRY DR, SUITE 276, EAST POINT, GA 30344-5121
(404) 530-0040
(404) 530-0045
Mailing address
3401 NORMAN BERRY DR, SUITE 276, EAST POINT, GA 30344-5121
(404) 530-0040
(404) 530-0045
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610166556A
—
GA
Enumeration date
01/11/2011
Last updated
01/11/2011
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