Organization
GENERATIONAL LEGACY BUILDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUWAYNE BARRETT RN (DIRECTOR)
(323) 452-3261
Entity
Organization
Contact information
Practice address
4291 STONEWALL TELL RD, ATLANTA, GA 30349-1542
(323) 452-3261
Mailing address
4827 OLD NATIONAL HWY # 1266, COLLEGE PARK, GA 30337-6234
(323) 452-3261
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/26/2024
Last updated
03/26/2024
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