Organization
FAMILY FIRST FOUNDATION
Active
Organization
FAMILY FIRST FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA CELESTE MAHONEY LPN (OWNER)
(770) 875-2151
Entity
Organization
Contact information
Practice address
836 ETOWAH RDG, STOCKBRIDGE, GA 30281-5971
(770) 875-2151
Mailing address
836 ETOWAH RDG, STOCKBRIDGE, GA 30281-5971
(770) 875-2151
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LPN086725
GA
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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