Life Wellness Group of Atlanta

NPI #1235480138 in Ellenwood, Georgia

Provider Information

NPI Number: 1235480138
Entity Type: Organization
Organization Name: Life Wellness Group of Atlanta
Primary Specialty: In Home Supportive Care
Enumeration Date: Oct 2, 2012
Last Updated: Oct 2, 2012

Practice Location

Address: 145 WILHEMINA DRIVE
City: Ellenwood
State: Georgia
ZIP Code: 30294
Phone: (678) 858-2815

Authorized Official

Name: ROMAN TARPLIN
Title: OWNER/CEO
Phone: (678) 858-2815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Delivered Meals	332U00000X
Private Vehicle	347C00000X
In Home Supportive Care	253Z00000X	Primary

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