Organization
A NEW WELL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA A CROCKETT (CEO)
(800) 341-0120
Entity
Organization
Contact information
Practice address
325 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-7350
(800) 341-0120
(866) 341-3403
Mailing address
325 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-7350
(800) 341-0120
(866) 341-3403
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003223523A
—
GA
Enumeration date
04/22/2019
Last updated
12/11/2025
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