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General NPI Number Information
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NPI Number | 1093690992
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Entity Type | Organization
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Legal Business Name | ELDER'S JOURNEY HOME CARE OF NORTHERN ATLANTA, LLC
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 4255 N. ARNOLD MILL ROAD
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City | WOODSTOCK
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State | GA
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Zip | 30188-3017
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Country | US
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Telephone | 470-307-2660
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Fax | 678-653-8555
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Provider Business Mailing Address
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Address Line | 4255 N. ARNOLD MILL ROAD
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City | WOODSTOCK
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State | GA
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Zip | 30188-3017
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Country | US
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Telephone | 470-307-2660
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Fax | 678-653-8555
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Authorized Official
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Title or Position | OWNER
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Name | ANN MARIE HARRISON
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Credential | RN
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Telephone | 812-360-7041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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