Organization
FOCUS ON FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA CATHERINE HAWKINS RN (ADMINISTRATOR)
(678) 851-7278
Entity
Organization
Contact information
Practice address
3200 BENJAMIN E MAYS DR SW, ATLANTA, GA 30311-2236
(678) 851-7278
Mailing address
PO BOX 92098, ATLANTA, GA 30314-0098
(678) 851-7278
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
GA
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
GA
251X00000X
Supports Brokerage Agency
—
GA
311ZA0620X
Adult Care Home Facility
—
GA
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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