# GEORGIA COMMUNITY PRIVATE HOME CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Georgia Home Health Care Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093027641
- **Authorized official:** MRS. IYABO OLATUNDE AKINTOMIDE (OWNER)
- **Authorized official phone:** (770) 987-7053

## Contact information

- **Practice address:** 5644 HUNTERS CROSSING CT, LITHONIA, GA 30038-1529
- **Practice address phone:** (770) 987-7053
- **Practice address fax:** (770) 987-5571
- **Mailing address:** 5644 HUNTERS CROSSING CT, LITHONIA, GA 30038-1529
- **Mailing address phone:** (770) 987-7053
- **Mailing address fax:** (770) 987-5571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 044-R-0497 | GA | Yes |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 07/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 207881949A | — | GA |