# ADVIR HOME CARE LLC

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

## Provider details

- **NPI number:** 1114260346
- **Authorized official:** MARY J WASHINGTON REGISTERED NURSE (CEO)
- **Authorized official phone:** (404) 829-2682

## Contact information

- **Practice address:** 3851 LINCOLN JONES RD STE B, ELLENWOOD, GA 30294-1828
- **Practice address phone:** (404) 829-2682
- **Practice address fax:** (404) 795-0854
- **Mailing address:** 3851 LINCOLN JONES RD STE B, ELLENWOOD, GA 30294-1828
- **Mailing address phone:** (404) 829-2682
- **Mailing address fax:** (404) 795-0854

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2013
- **Last updated:** 04/06/2013