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Contact Information

LIFE WELLNESS GROUP OF ATLANTA
145 WILHEMINA DRIVE
ELLENWOOD, GA30294
 Phone: 678-858-2815
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Delivered Meals

332U00000X 87 All Other Suppliers
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for LIFE WELLNESS GROUP OF ATLANTA

NPI Number 1235480138
LBN Legal business name LIFE WELLNESS GROUP OF ATLANTA
Authorized official ROMAN TARPLIN - (OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2012
Last updated 10/02/2012 - About 14 years ago
Identifiers
GA License # 253Z00000X
GA License # 332U00000X
GA License # 347C00000X
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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