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Organization
PIEDMONT IN HOMECARE
Active
Organization
PIEDMONT IN HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEONDRAY LANCE (OWNER)
(404) 645-9098
Entity
Organization
Contact information
Practice address
3266 STACI LN, ATLANTA, GA 30344-6403
(404) 645-9098
Mailing address
3266 STACI LN, ATLANTA, GA 30344-6403
(404) 645-9098
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
05/05/2021
Last updated
05/06/2021
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