Organization
TRENDSTONE SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALIA COLETTE LUCAS-SMITH (NURSE)
(404) 839-2107
Entity
Organization
Contact information
Practice address
265 18TH ST NW UNIT 2334, ATLANTA, GA 30363-1153
(404) 839-2107
Mailing address
265 18TH ST NW UNIT 2334, ATLANTA, GA 30363-1153
(404) 839-2107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
146L00000X
Paramedic
—
—
146N00000X
Basic Emergency Medical Technician
—
—
163W00000X
Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
310400000X
Assisted Living Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
341600000X
Ambulance
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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