Healthcare Provider Details

I. General information

NPI: 1811850639
Provider Name (Legal Business Name): KEY HEALTH AND WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PLAVE #6577
ATLANTA GA
30350
US

IV. Provider business mailing address

8735 DUNWOODY PLAVE #6577
ATLANTA GA
30350
US

V. Phone/Fax

Practice location:
  • Phone: 229-466-1488
  • Fax:
Mailing address:
  • Phone: 229-466-1488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KEYNOCHA Q BRUNSON-ALLMOND
Title or Position: MANAGER
Credential: MHA, CMA, CPTI
Phone: 443-736-0240