# HEALTHCARE TRAINING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthcare Training Center , LLC and Home Care Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104299239
- **Authorized official:** MS. GWENDOLYN CRENSHAW (PROGRAM MANAGER)
- **Authorized official phone:** (678) 933-9309

## Contact information

- **Practice address:** 115 COMMERCE DR STE A, FAYETTEVILLE, GA 30214-7335
- **Practice address phone:** (770) 629-7353
- **Mailing address:** 115 COMMERCE DR STE A, FAYETTEVILLE, GA 30214-7335
- **Mailing address phone:** (770) 629-7353

## Taxonomy

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

## Other

- **Enumeration date:** 11/11/2015
- **Last updated:** 11/11/2015