MEDICARE: M&M BARKLEY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1427827534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&M BARKLEY LLC

Provider Business Mailing Address
First Line	:	261 WHISTLE WAY
Second Line	:
City	:	LOCUST GROVE
State	:	GA
Zip	:	30248-2065
Country	:	US
Telephone Number	:	404-665-7892
Fax Number	:

Provider Business Practice Location Address
First Line	:	261 WHISTLE WAY
Second Line	:
City	:	LOCUST GROVE
State	:	GA
Zip	:	30248-2065
Country	:	US
Telephone Number	:	404-665-7892
Fax Number	:

Authorized Official
Title or Position	:	OPERATOR
Name	:	SHUNDREKA JUJUAN BARKLEY
Credential	:	NP
Telephone Number	:	404-828-0454

Provider Enumeration Date	:	12/29/2023
Last Update Date	:	10/28/2024

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Directions to “M&M BARKLEY LLC ” Practice Location

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