Organization
YOU DON'T SAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE L KAZANECKI MS CCC SLP (OWNER)
(678) 469-6849
Entity
Organization
Contact information
Practice address
183 ROCKYFORD RD NE, ATLANTA, GA 30317-1338
(678) 469-6849
(404) 377-4276
Mailing address
183 ROCKYFORD RD NE, ATLANTA, GA 30317-1338
(678) 469-6849
(404) 377-4276
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000962585C
—
GA
Enumeration date
03/12/2017
Last updated
03/12/2017
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