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NPI Code Detail

MEDICARE: LIVING WITH DIGNITY, INC

MEDICARE: LIVING WITH DIGNITY, INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1311Z00000XCustodial Care Facility
2343900000XNon-emergency Medical Transport (VAN)
3311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1457517880
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVING WITH DIGNITY, INC
Provider Business Mailing Address
First Line : 4350 MELANIE LN
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30349-2849
Country : US
Telephone Number : 404-226-2706
Fax Number :
Provider Business Practice Location Address
First Line : 4350 MELANIE LN
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30349-2849
Country : US
Telephone Number : 404-226-2706
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. ELLEN SHAVER
Credential :
Telephone Number : 404-226-2706
Provider Enumeration Date : 08/05/2008
Last Update Date : 08/05/2008

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Directions to “LIVING WITH DIGNITY, INC ” Practice Location

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