Healthcare Provider Details

I. General information

NPI: 1265792592
Provider Name (Legal Business Name): ONE STOP TSC SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 06/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 MAIN ST
STONE MOUNTAIN GA
30083-2989
US

IV. Provider business mailing address

965 MAIN ST
STONE MOUNTAIN GA
30083-2989
US

V. Phone/Fax

Practice location:
  • Phone: 770-469-7511
  • Fax:
Mailing address:
  • Phone: 770-469-7511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VANESSA MCMILLEN
Title or Position: OWNER
Credential:
Phone: 678-791-6816