Dreams of Maiposa LLC

NPI #1093429540 in Ellenwood, Georgia

Provider Information

NPI Number: 1093429540
Entity Type: Organization
Organization Name: Dreams of Maiposa LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Jan 10, 2023
Last Updated: Jan 10, 2023

Practice Location

Address: 4693 CLARKS CREEK LN
City: Ellenwood
State: Georgia
ZIP Code: 30294-6564
Phone: (770) 574-6268

Authorized Official

Name: REGINA HARRIS
Title: EXCUTIVE DIRECTOR
Phone: (556) 817-0049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X
Home Health	251E00000X
Home Delivered Meals	332U00000X
Respite Care	385H00000X
In Home Supportive Care	253Z00000X	Primary

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