Individual
MISS LONNEKKA PRITICE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3798 CATALPA LN, ELLENWOOD, GA 30294-1921
(404) 397-8916
Mailing address
3798 CATALPA LN, ELLENWOOD, GA 30294-1921
(404) 397-8916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
PCH008638
GA
164W00000X
Licensed Practical Nurse
Primary
LPN087540
GA
171M00000X
Case Manager/Care Coordinator
LPN087540
GA
251B00000X
Case Management Agency
LPN087540
GA
251E00000X
Home Health Agency
LPN087540
GA
251G00000X
Community Based Hospice Care Agency
LPN087540
GA
251S00000X
Community/Behavioral Health Agency
PCH008638
GA
253Z00000X
In Home Supportive Care Agency
LPN087540
GA
311ZA0620X
Adult Care Home Facility
PCH008638
GA
372600000X
Adult Companion
PCH008638
GA
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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