SearchGeorgia374U00000X

Keanna Lassiter/Mathis

NPI 1861385387 · on the registry since 2025 · sole proprietor

Practice

Address
580 Caledon Way
Hampton, GA 30228
Phone
(229) 942-4697
Organisation at this address
Fount Of Life
Care For You Home Healthcare Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Female
Record last updated
2025-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia