# COMPLETE CARE AT HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Complete Care At Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124487376
- **Authorized official:** MRS. LISA MARLEEN REISMAN MSN, CNP (ADMINISTRATOR)
- **Authorized official phone:** (770) 551-9533

## Contact information

- **Practice address:** 11 DUNWOODY PARK, SUITE 140, DUNWOODY, GA 30338-7408
- **Practice address phone:** (770) 551-9533
- **Mailing address:** 11 DUNWOODY PARK, SUITE 140, DUNWOODY, GA 30338-7408
- **Mailing address phone:** (770) 551-9533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | 060-R-0250 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | 060-R-0250 | GA | Yes |

## Other

- **Enumeration date:** 02/16/2016
- **Last updated:** 05/05/2017
