NPI 1184862856 · live from the CMS NPI Registry
About Face Speech And Language Services, LLC
Early Intervention Provider Agency in Stockbridge, GA. National Provider Identifier 1184862856, active.
NPI record
| NPI | 1184862856 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Early Intervention Provider Agency 252Y00000X |
| Practice location | 309 Breezewood Court, Stockbridge, GA 30281 |
| Practice phone | 678-591-6524 |
| Enumerated | February 3, 2009 |
| Last updated | February 3, 2009 |
| Authorized official | Dedra Bradham, Owner/Agent |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | SLP006318 (GA) |
| Early Intervention Provider Agency primary | 252Y00000X | SLP006318 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.