Provider Demographics
NPI:1073876868
Name:FAMILY ADVOCATES OF GA, INC
Entity Type:Organization
Organization Name:FAMILY ADVOCATES OF GA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-437-5973
Mailing Address - Street 1:9037 CAMPBELLTON ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-9998
Mailing Address - Country:US
Mailing Address - Phone:404-437-5973
Mailing Address - Fax:
Practice Address - Street 1:9037 CAMPBELLTON ST
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-9998
Practice Address - Country:US
Practice Address - Phone:404-437-5973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based