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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TACQUORA LASHAE MIXON, CMA,CNA

Active Sole Proprietor

TACQUORA LASHAE MIXON, CMA,CNA is a Assisted Living Facility healthcare provider located in EAST POINT, Georgia. NPI 1770306656 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · EAST POINT, GA

Registration Details

NPI Number
1770306656
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2024 (1.7915618000218 yrs)
Last Updated
Nov 7, 2024
Sole Proprietor
Yes

Practice Information

Address
2882 CHURCH ST
EAST POINT, GA, 303443254
Browse GA providers · Browse ZIP 30344
Phone
4046928860
Primary Specialty
Assisted Living Facility
311ZA0620X
Additional Specialty
Assisted Living Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.