# GIDIANA HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1093645475
- **Authorized official:** JACOB PREMPEH ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (470) 469-1168

## Contact information

- **Practice address:** 771 RALPH STILL RD, DACULA, GA 30019-2816
- **Practice address phone:** (470) 469-1168
- **Practice address fax:** (470) 995-2808
- **Mailing address:** 771 RALPH STILL RD, DACULA, GA 30019-2816
- **Mailing address phone:** (470) 469-1168
- **Mailing address fax:** (470) 995-2808

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2026
- **Last updated:** 05/19/2026