Magenta Breeze Home, Inc.

NPI #1407194723 in Lithonia, Georgia

Provider Information

NPI Number: 1407194723
Entity Type: Organization
Organization Name: Magenta Breeze Home, Inc.
Primary Specialty: Home Health
Enumeration Date: Jan 21, 2013
Last Updated: Jan 21, 2013

Practice Location

Address: 776 KILKENNY CIR
City: Lithonia
State: Georgia
ZIP Code: 30058-9026
Phone: (678) 526-9152

Authorized Official

Name: MRS. LYNETTE TARA VICK
Title: OWNER
Phone: (678) 526-9152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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