# HOME MATTERS CAREGIVING GEORGIA LLC

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

## Provider details

- **NPI number:** 1063111490
- **Authorized official:** MR. KEVIN PETER MAHON (CO-OWNER)
- **Authorized official phone:** (678) 632-3899

## Contact information

- **Practice address:** 5825 GLENRIDGE DR BLDG 3, ATLANTA, GA 30328-5387
- **Practice address phone:** (678) 632-3899
- **Mailing address:** 2874 DORBY CLOSE NE, BROOKHAVEN, GA 30319-4546
- **Mailing address phone:** (678) 632-3899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2023
- **Last updated:** 02/24/2023