NPI 1225712961
Phenomenal Care Solutions
Practice location
- Address
- 2111 Country Walk Way SE APT a, Conyers, GA 30013-6765
- Phone
- (404) 789-4304
Authorised official
- Name
- Candice Latre Webb
- Title
- Owner
- Phone
- (404) 789-4304
Registered specialties (4)
Non-emergency Medical Transport (VAN)
Primary
Developmentally Disabled Services Day Training Agency
In Home Supportive Care Agency
Attendant Care Provider
Registry record
- NPI
- 1225712961
- Entity type
- Organization
- NPI issued
- 13 Jun 2023
- Record last updated
- 13 Jun 2023
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.