Individual
MS. LATEEFAH AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
889 1/2 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1800
(404) 883-3302
(678) 515-0876
Mailing address
889 1/2 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1800
(404) 883-3302
(678) 515-0876
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PHCP010489
GA
251J00000X
Nursing Care Agency
PHCP010489
GA
253Z00000X
In Home Supportive Care Agency
Primary
PHCP010489
GA
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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