Healthcare Provider Details

I. General information

NPI: 1487349148
Provider Name (Legal Business Name): IN DESTINY'S HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 LAKEFIELD DR STE 200
JOHNS CREEK GA
30097-2456
US

IV. Provider business mailing address

11340 LAKEFIELD DR STE 200
JOHNS CREEK GA
30097-2456
US

V. Phone/Fax

Practice location:
  • Phone: 470-242-9099
  • Fax:
Mailing address:
  • Phone: 470-242-9099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DESTINY HARRIS
Title or Position: OWNER
Credential:
Phone: 470-242-9099