# DAVORE HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295491918
- **Authorized official:** OLUSOLA ADERIBIGBE (PARTNER)
- **Authorized official phone:** (718) 200-4219

## Contact information

- **Practice address:** 1129 HOSPITAL DR STE 6F, STOCKBRIDGE, GA 30281-6393
- **Practice address phone:** (678) 835-3334
- **Mailing address:** 1129 HOSPITAL DR STE 6F, STOCKBRIDGE, GA 30281-6393
- **Mailing address phone:** (678) 835-3334

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2021
- **Last updated:** 11/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHCP011304 | GEORGIA DEPARTMENT OF COMMUNITY HEALTH | GA |