OrganizationActive
A Place Like Home Respite Care Services
NPI 1104693225 · Nurse Practitioner · Lawrenceville, GA
Provider details
- NPI number
- 1104693225
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Gregory Wilkerson, Provider/Owner
Practice location
1269 Nathan Mauldin Dr
Lawrenceville, GA 30043-7249
Phone: (470) 263-2806
Fax: (802) 365-8491
Mailing address
1269 Nathan Mauldin Dr
Lawrenceville, GA 30043-7249
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2023-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.