Organization
SERVING ONE OF US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY WALKER WORTHY (OWNER/DIRECTOR/ADMINISTRATOR)
(404) 428-2749
Entity
Organization
Contact information
Practice address
1544 WELLBORN RD, #3, LITHONIA, GA 30058-5492
(404) 428-2749
(770) 786-0499
Mailing address
1544 WELLBORN RD, #3, LITHONIA, GA 30058-5492
(404) 428-2749
(770) 786-0499
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
600242281A
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600242281A
—
GA
Enumeration date
09/04/2010
Last updated
09/04/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up