NPI 1730856089

Spreading My Wings LLC

Organisation Case Manager/Care Coordinator Lilburn, GA

Practice location

Address: 75 Arcado Rd SW, Lilburn, GA 30047-3084
Phone: (770) 668-3915

Authorised official

Name: Frank Pruitt
Title: Ceo
Phone: (770) 668-3915

Registered specialties (4)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1730856089
Entity type: Organization
NPI issued: 25 Aug 2021
Record last updated: 25 Aug 2021

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.