Organization
A PLACE OF MOTHERLY LOVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHENEKA HUMPHREY (DIRECTOR)
(404) 353-9432
Entity
Organization
Contact information
Practice address
4299 BELLWOOD CIRCLE, ATLANTA, GA 30349-7074
(770) 969-2539
(770) 969-2539
Mailing address
4299 BELLWOOD CIRCLE, ATLANTA, GA 30349-7074
(770) 969-2539
(770) 969-2539
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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