Organization
ME AND MY NANNA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONGIE R. SCOTT (PRES/CEO)
(678) 471-5338
Entity
Organization
Contact information
Practice address
5878 BUFORD HWY.,, STE. 9, ATLANTA, GA 30340-1245
(678) 381-1540
(877) 496-4822
Mailing address
5878 BUFORD HWY., STE. 9, ATLANTA, GA 30340-1245
(678) 381-1540
(877) 496-4822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
060R0147
GA
251J00000X
Nursing Care Agency
060-R-0147
GA
253Z00000X
In Home Supportive Care Agency
Primary
060-R-0147
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341641551B
—
GA
05
—
341641551E
—
GA
Enumeration date
05/03/2006
Last updated
06/14/2013
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