Organization
PRUDENT SENIOR SERVICES OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOOIYI TAN YIN (COO)
(770) 612-1388
Entity
Organization
Contact information
Practice address
3850 HOLCOMB BRIDGE RD STE 450, PEACHTREE CORNERS, GA 30092-2202
(770) 454-7979
Mailing address
3850 HOLCOMB BRIDGE RD STE 450, PEACHTREE CORNERS, GA 30092-2202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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