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Organization

KEYANNA PROFESSIONAL SERVICES, LTD COMPANY

Active
Other names
KPS
Organization subpart
No

Provider details

NPI number
Authorized official
KEYANNA MOSS MBA (CEO)
(470) 553-8500
Entity
Organization

Contact information

Practice address
1160 CLEVELAND RD, FORT VALLEY, GA 31030-9654
(470) 550-8882
Mailing address
PO BOX 112, SPARTA, GA 31087-0112
(470) 553-8500

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
174200000X
Meals Provider
177F00000X
Lodging Provider
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals
335G00000X
Medical Foods Supplier
342000000X
Transportation Network Company
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
385H00000X
Respite Care

Other

Enumeration date
01/05/2024
Last updated
11/15/2025
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