Provider Demographics
NPI:1952713034
Name:YOUR FAMILYS NURSE
Entity Type:Organization
Organization Name:YOUR FAMILYS NURSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:POWE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN
Authorized Official - Phone:770-689-7983
Mailing Address - Street 1:3930 EMBASSY WAY
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-7828
Mailing Address - Country:US
Mailing Address - Phone:770-689-7983
Mailing Address - Fax:
Practice Address - Street 1:3930 EMBASSY WAY
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-7828
Practice Address - Country:US
Practice Address - Phone:770-689-7983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-23
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2014012362251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health