# MAURINA PRIVATE HOMECARE LLC

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

## Provider details

- **NPI number:** 1306506118
- **Authorized official:** MAUREEN GICHARU (OWNER)
- **Authorized official phone:** (404) 973-0500

## Contact information

- **Practice address:** 220 BETHEL DR, DALLAS, GA 30157-6814
- **Practice address phone:** (404) 973-0500
- **Mailing address:** 251 WHITE PINES DR, DALLAS, GA 30157-8512

## Taxonomy

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

## Other

- **Enumeration date:** 12/20/2021
- **Last updated:** 09/20/2023