Spreading My Wings LLC

NPI #1730856089 in Lilburn, Georgia

Provider Information

NPI Number: 1730856089
Entity Type: Organization
Organization Name: Spreading My Wings LLC
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Aug 25, 2021
Last Updated: Aug 25, 2021

Practice Location

Address: 75 ARCADO RD SW
City: Lilburn
State: Georgia
ZIP Code: 30047-3084
Phone: (770) 668-3915

Authorized Official

Name: FRANK PRUITT
Title: CEO
Phone: (770) 668-3915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Community/Behavioral Health	251S00000X
Early Intervention Provider Agency	252Y00000X
Case Manager/Care Coordinator	171M00000X	Primary

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