Organization
CREATING MAGICAL MEMORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTALIA COOPER (OWNER)
(404) 246-8276
Entity
Organization
Contact information
Practice address
56 PERIMETER CTR E STE 150, ATLANTA, GA 30346-2210
(800) 871-5339
Mailing address
3106 KINGS BAY DR, DECATUR, GA 30034-7118
(800) 871-5339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
02/08/2022
Last updated
11/28/2023
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