# PROMINENCE HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prominence Homecare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457196339
- **Authorized official:** WOSHELISE BURROW (GENERAL MANAGER)
- **Authorized official phone:** (404) 793-9718

## Contact information

- **Practice address:** 6595 ROSWELL RD STE G-6651, ATLANTA, GA 30328-3152
- **Practice address phone:** (404) 793-9718
- **Mailing address:** 6595 ROSWELL RD STE G-6651, ATLANTA, GA 30328-3152
- **Mailing address phone:** (404) 793-9718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/01/2024