Individual
MS. TENIA WASHINGTON-GREER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
976 REDAN TRCE, STONE MOUNTAIN, GA 30088-2561
(770) 885-9936
Mailing address
976 REDAN TRCE, STONE MOUNTAIN, GA 30088-2561
(770) 885-9936
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
GA
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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