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Organization
AMENITY NURSING CARE AND COMPANION SERVICES, LLC
Active
Organization
AMENITY NURSING CARE AND COMPANION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE DENISE JACKSON RN (OWNER/ADMINISTRATOR)
(404) 548-8442
Entity
Organization
Contact information
Practice address
4605 CHESTNUT OAK ST, LOGANVILLE, GA 30052-9408
(404) 548-8442
Mailing address
4605 CHESTNUT OAK ST, LOGANVILLE, GA 30052-9408
(404) 548-8442
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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