Healthcare Provider Details

I. General information

NPI: 1255605408
Provider Name (Legal Business Name): FOCUS ON FAMILY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2012
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 BENJAMIN E MAYS DR SW
ATLANTA GA
30311-2236
US

IV. Provider business mailing address

PO BOX 92098
ATLANTA GA
30314-0098
US

V. Phone/Fax

Practice location:
  • Phone: 678-851-7278
  • Fax:
Mailing address:
  • Phone: 678-851-7278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateGA

VIII. Authorized Official

Name: MRS. WANDA CATHERINE HAWKINS
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 678-851-7278