# REDWOOD PRIVATE CARE, LLC

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

## Provider details

- **NPI number:** 1518544832
- **Authorized official:** DR. OWMY BOULOUTE DPM (OWNER)
- **Authorized official phone:** (678) 517-4214

## Contact information

- **Practice address:** 3715 NORTHSIDE PARKWAY, BUILDING 100 - SUITE 500, ATLANTA, GA 30327
- **Practice address phone:** (678) 517-4214
- **Mailing address:** 3904 N DRUID HILLS RD STE 104, DECATUR, GA 30033-3105
- **Mailing address phone:** (678) 517-4214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2021
- **Last updated:** 05/23/2022