Organization
DISTINCTIVE PROFESSIONAL SERVICES
Active
Other names
DPS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRICE R HARRIS (CEO)
(770) 905-0423
Entity
Organization
Contact information
Practice address
8343 ROSWELL RD, 443, ATLANTA, GA 30350-2810
(800) 863-9003
Mailing address
8343 ROSWELL RD, 443, ATLANTA, GA 30350-2810
(800) 863-9003
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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