Healthcare Provider Details

I. General information

NPI: 1114701018
Provider Name (Legal Business Name): CLAUDETTE PIERRE-TOUSSAINT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 MEADOW BRANCH LN
DALLAS GA
30157-1446
US

IV. Provider business mailing address

154 MEADOW BRANCH LN
DALLAS GA
30157-1446
US

V. Phone/Fax

Practice location:
  • Phone: 678-558-6260
  • Fax:
Mailing address:
  • Phone: 678-558-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: