# KEYANNA S HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Caring Matters Home Care 042
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124644695
- **Authorized official:** KEYANNA WILLIS (OWNER)
- **Authorized official phone:** (470) 591-5063

## Contact information

- **Practice address:** 107 TRESTLE CT, STOCKBRIDGE, GA 30281-3057
- **Practice address phone:** (470) 591-5063
- **Mailing address:** 107 TRESTLE CT, STOCKBRIDGE, GA 30281-3057

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2020
- **Last updated:** 06/22/2020