Provider Demographics
NPI:1164396610
Name:DEVAS HUG&KISSES
Entity type:Organization
Organization Name:DEVAS HUG&KISSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS
Authorized Official - Prefix:
Authorized Official - First Name:KESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-724-7809
Mailing Address - Street 1:4305 TREELINE WAY
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-4231
Mailing Address - Country:US
Mailing Address - Phone:678-724-7809
Mailing Address - Fax:
Practice Address - Street 1:4305 TREELINE WAY
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-4231
Practice Address - Country:US
Practice Address - Phone:678-724-7809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KESHIA HUDSON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization