# COMPASSIONATE PROFESSIONAL HOME CARE, LLC

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

## Provider details

- **NPI number:** 1003438748
- **Authorized official:** LATRISSE DAVIS (OWNER)
- **Authorized official phone:** (912) 677-2143

## Contact information

- **Practice address:** 527 US HIGHWAY 80 W \# C102, GARDEN CITY, GA 31408-3115
- **Practice address phone:** (912) 677-2143
- **Mailing address:** 527 US HIGHWAY 80 W \# C102, GARDEN CITY, GA 31408-3115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2020
- **Last updated:** 12/11/2020