# HOMECARE PROVIDERS SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003070178
- **Authorized official:** MS. SHEILA G BUTT (ADMINSTRATOR)
- **Authorized official phone:** (678) 760-8886

## Contact information

- **Practice address:** 3949 ELMSIDE VILLAGE LN, SUITE F, NORCROSS, GA 30092-7216
- **Practice address phone:** (678) 760-8886
- **Mailing address:** PO BOX 895, STONE MOUNTAIN, GA 30086-0895
- **Mailing address phone:** (678) 760-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 534170545A | GA | Yes |

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 07/17/2008