Provider Demographics
NPI:1104992569
Name:PROJECT OPEN HAND ATLANTA INC.
Entity type:Organization
Organization Name:PROJECT OPEN HAND ATLANTA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NUTRITION SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:404-419-3331
Mailing Address - Street 1:176 OTTLEY DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3925
Mailing Address - Country:US
Mailing Address - Phone:404-872-9401
Mailing Address - Fax:
Practice Address - Street 1:176 OTTLEY DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3925
Practice Address - Country:US
Practice Address - Phone:404-872-9401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6945Medicare ID - Type Unspecified