Healthcare Provider Details

I. General information

NPI: 1528996402
Provider Name (Legal Business Name): 18WISHES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3473 KOYLA LNDG
CHAMBLEE GA
30341-0002
US

IV. Provider business mailing address

3473 KOYLA LNDG
CHAMBLEE GA
30341-0002
US

V. Phone/Fax

Practice location:
  • Phone: 470-900-7023
  • Fax: 470-900-7023
Mailing address:
  • Phone: 470-900-7023
  • Fax: 470-900-7023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LANADJA KNOWLTON
Title or Position: OWNER
Credential:
Phone: 470-900-7023