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Organization
STEDFAST HOME CARE SERVICES LLC
Active
Organization
STEDFAST HOME CARE SERVICES LLC
Active
Other names
Stedfast Home Care Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA P THREAT REGISTERED NURSE (ADMINISTRATOR)
(770) 299-1378
Entity
Organization
Contact information
Practice address
478 NORTHDALE RD STE 201, LAWRENCEVILLE, GA 30046-8902
(770) 299-1378
(678) 878-4636
Mailing address
478 NORTHDALE RD STE 201, LAWRENCEVILLE, GA 30046-8902
(770) 299-1378
(678) 878-4636
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067-R-1804
PRIVATE HOME CARE PROVIDER PERMIT
GA
Enumeration date
07/14/2020
Last updated
07/14/2020
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