Brenda Adams

Individual provider Active NPI Home Health Aide · Lithia Springs, GA

NPI 1609337138 · NPPES record last updated Mar 27, 2019

Key facts

NPI
1609337138
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
2580 Summer Lake Rd Apt 7109
Lithia Springs, GA 30122-3875
Phone
(404) 889-7910
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X GA Yes

Addresses

Primary practice location

2580 Summer Lake Rd Apt 7109
Lithia Springs, GA 30122-3875

Mailing address

2580 Summer Lake Rd Apt 7109
Lithia Springs, GA 30122-3875
Phone (404) 889-7910

Other providers in Lithia Springs, GA

All providers in Lithia Springs, GA · Home Health Aide in Georgia

Sources for this page

Verify at the official NPI Registry.