Individual
MS. GLADYS KYRIMA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1392 PRESERVE PARK DR, LOGANVILLE, GA 30052-5828
(404) 992-7747
Mailing address
910 ATHENS HWY STE K312, LOGANVILLE, GA 30052-4952
(678) 697-1567
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/20/2018
Last updated
12/04/2019
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