# CERTIFIED HOME CARE OF GEORGIA LLC

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

## Provider details

- **NPI number:** 1083009054
- **Authorized official:** JUDINE LYNCH (OWNER)
- **Authorized official phone:** (770) 635-8042

## Contact information

- **Practice address:** 382 HARBINS RD, DACULA, GA 30019-2300
- **Practice address phone:** (770) 635-8042
- **Practice address fax:** (877) 366-0737
- **Mailing address:** 2559 PHARR AVE, DACULA, GA 30019-4707
- **Mailing address phone:** (770) 635-8042
- **Mailing address fax:** (888) 599-5057

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2015
- **Last updated:** 11/04/2016