Individual provider · Type 1 NPI

Mazie Douglas

Home Health Agency · Lithonia, GA

NPI number 1124882428 Active

Practice location

1918 Panola Rd
Lithonia, GA 30058-5520

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility 311ZA0620XNone listed
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1124882428

Mazie Douglas's National Provider Identifier is 1124882428, issued on Feb 8, 2024. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Lithonia, GA. The record was last updated on Feb 8, 2024.