Provider Demographics
NPI:1497065940
Name:THE DIGNIY ALLIANCE, LLC
Entity Type:Organization
Organization Name:THE DIGNIY ALLIANCE, LLC
Other - Org Name:THE DIGNITY ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-864-9773
Mailing Address - Street 1:3884 HUNTING RIDGE DR SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-2598
Mailing Address - Country:US
Mailing Address - Phone:770-864-9773
Mailing Address - Fax:770-864-9892
Practice Address - Street 1:3884 HUNTING RIDGE DR SW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-2598
Practice Address - Country:US
Practice Address - Phone:770-864-9773
Practice Address - Fax:770-864-9892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health