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Organization

TRANSITIONAL GEORGIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATANYALIKA S BOATWRIGHT (MANAGING MEMBER)
(678) 230-8229
Entity
Organization

Contact information

Practice address
9546 CARNES CROSSING CIR, JONESBORO, GA 30236-6279
(678) 230-8229
(404) 935-9630
Mailing address
2931 STREAM VW, ATLANTA, GA 30349-7982
(678) 230-8229
(404) 935-9630

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
031012859
GA

Other

Enumeration date
09/23/2010
Last updated
09/23/2010
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