NPI 1003630427
I Am Legacy Ptca INC.
Practice location
- Address
- 514 W Oglethorpe Blvd, Albany, GA 31701-1478
- Phone
- (404) 465-1391
- Mailing address
- 514 W Oglethorpe Blvd STE G, Albany, GA 31701-1479
Authorised official
- Name
- Evangela Childs
- Title
- Executive Director
- Phone
- (404) 465-1391
Registered specialties (6)
Voluntary or Charitable Agency
Primary
Case Management Agency
Nursing Care Agency
Public Health or Welfare Agency
Community/Behavioral Health Agency
Early Intervention Provider Agency
Registry record
- NPI
- 1003630427
- Entity type
- Organization
- NPI issued
- 12 Nov 2024
- Record last updated
- 12 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.