Individual
LENOBIA BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 QUIVAS CT SW, ATLANTA, GA 30331-7524
(404) 914-3693
Mailing address
101 QUIVAS CT SW, ATLANTA, GA 30331-7524
(404) 914-3693
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PHCP011348
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP011348
PCHP
GA
Enumeration date
09/01/2022
Last updated
09/01/2022
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