Provider Demographics
NPI:1659662435
Name:EXCEEDS THEIR NEEDS
Entity Type:Organization
Organization Name:EXCEEDS THEIR NEEDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:V
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-789-5649
Mailing Address - Street 1:2786 TOPAZ RD
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-6015
Mailing Address - Country:US
Mailing Address - Phone:770-996-1054
Mailing Address - Fax:
Practice Address - Street 1:2786 TOPAZ RD
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-6015
Practice Address - Country:US
Practice Address - Phone:770-996-1054
Practice Address - Fax:770-996-1054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1501013467253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========OtherEIN