OrganizationActive
I Am Legacy Ptca Inc.
NPI 1003630427 · Voluntary or Charitable Agency · Albany, GA
Provider details
- NPI number
- 1003630427
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Evangela Childs, Executive Director(404) 465-1391
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
- Nursing Care Agency251J00000X
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
Practice location
514 W Oglethorpe Blvd
Albany, GA 31701-1478
Phone: (404) 465-1391
Approximate (ZIP-level) locationGet directions
Mailing address
514 W Oglethorpe Blvd Ste G
Albany, GA 31701-1479
Registry dates
- Enumerated
- 2024-11-12
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.