# PEACHTREE SENIOR CARE LLC

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

## Provider details

- **NPI number:** 1063188803
- **Authorized official:** KEVIN SPRINGER (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (770) 833-4364

## Contact information

- **Practice address:** 401 WESTPARK CT STE 200, PEACHTREE CITY, GA 30269-3572
- **Practice address phone:** (770) 833-4364
- **Mailing address:** 401 WESTPARK CT STE 200, PEACHTREE CITY, GA 30269-3572
- **Mailing address phone:** (770) 833-4364

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2021
- **Last updated:** 08/23/2021