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Organization

PRAXIS LIVING SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NIKI TANYELL DAVIS LPN (OWNER)
(404) 798-9646
Entity
Organization

Contact information

Practice address
1403 WINDY HILL CT SE, CONYERS, GA 30013-2971
(404) 798-9646
Mailing address
1403 WINDY HILL CT SE, CONYERS, GA 30013-2971

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
122-R-1845
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122-R-1845
PRIVATE HOME CARE PROVIDER
GA
Enumeration date
08/08/2017
Last updated
08/08/2017
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