Individual
MS. LATALIA Y CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA (CN0028835244)
Contact information
Practice address
100 E 19TH ST SW APT B, ROME, GA 30161-6323
(770) 648-5389
Mailing address
100 E 19TH ST SW APT B, ROME, GA 30161-6323
(770) 648-5389
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
CN0028835244
GA
251C00000X
Developmentally Disabled Services Day Training Agency
CN0028835244
GA
251E00000X
Home Health Agency
Primary
CN0028835244
GA
Other
Enumeration date
01/22/2020
Last updated
02/19/2024
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