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NPI Code Detail

MEDICARE: ADULT SERVICES OF GWINNETT

MEDICARE: ADULT SERVICES OF GWINNETT
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
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1811587868
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADULT SERVICES OF GWINNETT
Provider Business Mailing Address
First Line : 1703 WINDRUSH WAY
Second Line :
City : GRAYSON
State : GA
Zip : 30017-2806
Country : US
Telephone Number : 470-546-6798
Fax Number :
Provider Business Practice Location Address
First Line : 302 SATELLITE BLVD NE STE 202
Second Line :
City : SUWANEE
State : GA
Zip : 30024-7184
Country : US
Telephone Number : 470-546-6798
Fax Number :
Authorized Official
Title or Position : PROGRAM MANAGER
Name : MRS. SHEQUANTA MYESHIA SCOTT
Credential :
Telephone Number : 470-546-6798
Provider Enumeration Date : 01/24/2021
Last Update Date : 01/08/2026

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Directions to “ADULT SERVICES OF GWINNETT ” Practice Location

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