# SHELTER AT HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shelter At Home Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417657552
- **Authorized official:** CASSANDRA INGRAM (CEO)
- **Authorized official phone:** (478) 447-1971

## Contact information

- **Practice address:** 409 ARROWHEAD BLVD STE A138, JONESBORO, GA 30236-1260
- **Practice address phone:** (478) 447-1971
- **Mailing address:** 6800 BELLS LANDING WAY, REX, GA 30273-2242
- **Mailing address phone:** (478) 447-1971

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2023
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHCP011252 | PHCP | GA |