# PEACH STATE CARE PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEACH STATE CARE PARTNERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134904824
- **Authorized official:** RONISHA SPARKS (CEO)
- **Authorized official phone:** (440) 434-9074

## Contact information

- **Practice address:** 990 ISLAND BLUFF LN, BUFORD, GA 30518-5574
- **Practice address phone:** (440) 434-9074
- **Practice address fax:** (216) 586-6628
- **Mailing address:** 990 ISLAND BLUFF LN, BUFORD, GA 30518-5574
- **Mailing address phone:** (440) 434-9074
- **Mailing address fax:** (216) 586-6628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 08/30/2023