# BENROSE HOMECARE SERVICES LLC

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

## Provider details

- **NPI number:** 1508450958
- **Authorized official:** CHIMA L NJOKU (ADMINISTRATOR)
- **Authorized official phone:** (404) 518-1140

## Contact information

- **Practice address:** 2105 PALATINE PL, STOCKBRIDGE, GA 30281-9129
- **Practice address phone:** (404) 518-1140
- **Practice address fax:** (404) 973-3242
- **Mailing address:** 2105 PALATINE PL, STOCKBRIDGE, GA 30281-9129
- **Mailing address phone:** (404) 518-1140
- **Mailing address fax:** (404) 973-3242

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2021
- **Last updated:** 02/25/2021