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A PLACE LIKE HOME RESPITE CARE SERVICES NPI 1104693225


NPI Information

NPI: 1104693225
Provider Name: A PLACE LIKE HOME RESPITE CARE SERVICES
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
1269 NATHAN MAULDIN DR
LAWRENCEVILLE, GA
ZIP 30043
Phone: (470) 263-2806
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A PLACE LIKE HOME RESPITE CARE SERVICES is a nurse practitioner in Lawrenceville, GA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. A PLACE LIKE HOME RESPITE CARE SERVICES NPI is 1104693225. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1269 NATHAN MAULDIN DR
LAWRENCEVILLE, GA
ZIP 30043-249
Phone: (470) 263-2806
Fax: (802) 365-8491

The provider's authorized official is Gregory A Wilkerson .
The authorized official title is Provider/owner and has the following contact phone number (678) 468-8672.

The enumeration date for this NPI number is 12/8/2023 and was last updated on 12/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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