# CANOPY HOMECARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BWell Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174058010
- **Authorized official:** DENNIS STAMEY-LUCAS (CEO)
- **Authorized official phone:** (770) 438-0033

## Contact information

- **Practice address:** 2453 POWDER SPRINGS RD SW, SUITE 225, MARIETTA, GA 30064-4570
- **Practice address phone:** (770) 438-0033
- **Mailing address:** 2453 POWDER SPRINGS RD SW, SUITE 225, MARIETTA, GA 30064-4570
- **Mailing address phone:** (770) 438-0033

## Taxonomy

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

## Other

- **Enumeration date:** 04/28/2017
- **Last updated:** 04/28/2017