Healthcare Provider Details
I. General information
NPI: 1720854557
Provider Name (Legal Business Name): MAJER GREATNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2023
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2906 EVANS MILL RD STE A
STONECREST GA
30038-2445
US
IV. Provider business mailing address
2910 EVANS MILL RD # 330
STONECREST GA
30038-2481
US
V. Phone/Fax
- Phone: 678-577-6111
- Fax:
- Phone: 678-577-6111
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
DYSELL
SWANS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 678-577-6111