# CROWNCARE

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

## Provider details

- **NPI number:** 1013172402
- **Authorized official:** MISS LASHANDA YVONNE SCOTT (ADMINISTRATOR)
- **Authorized official phone:** (770) 933-7899

## Contact information

- **Practice address:** 2480 WINDY HILL RD SE STE 107, MARIETTA, GA 30067-8608
- **Practice address phone:** (770) 933-1899
- **Practice address fax:** (609) 935-1899
- **Mailing address:** 2480 WINDY HILL RD SE STE 107, MARIETTA, GA 30067-8608
- **Mailing address phone:** (770) 933-1899
- **Mailing address fax:** (609) 935-1899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 033-R-0473 | GA | Yes |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 07/24/2008