Individual
DELANDEOUS LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 TWIN OAKS DR APT 2, DECATUR, GA 30030-4055
(404) 579-9574
Mailing address
851 TWIN OAKS DR APT 2, DECATUR, GA 30030-4055
(404) 579-9574
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0000009118
GA
Other
Enumeration date
07/25/2026
Last updated
07/25/2026
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