ENRICHMENT FOR LIFE PCC INC. NPI 1548536808

NPI Information

NPI: 1548536808
Provider Name: ENRICHMENT FOR LIFE PCC INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3080 SNAPFINGER RD
DECATUR, GA
ZIP 30034
Phone: (770) 987-0897
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ENRICHMENT FOR LIFE PCC INC. is a health service clinic center in Decatur, GA. ENRICHMENT FOR LIFE PCC INC. NPI is 1548536808. The provider is registered as an organization entity type.

The provider's business location address is:

3080 SNAPFINGER RD
DECATUR, GA
ZIP 30034-624
Phone: (770) 987-0897
Fax: (404) 288-9325

The provider's authorized official is Shirley Ann Mcwilson .
The authorized official title is President and has the following contact phone number (770) 987-0897.

The enumeration date for this NPI number is 3/30/2012 and was last updated on 3/30/2012.

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
1	261QH0100X	Clinic/Center	Health Service	044-01-434-1	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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