NPI 1114664067
Trusted Care Professionals
Practice location
- Address
- 711 Bralorne Dr, Stone Mountain, GA 30087-4608
- Phone
- (404) 783-0570
Authorised official
- Name
- Fredricka Horne
- Title
- Owner/Operator
- Phone
- (404) 783-0570
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1114664067
- Entity type
- Organization
- NPI issued
- 12 May 2022
- Record last updated
- 12 May 2022
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.