# STEDFAST HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stedfast Home Care Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568080786
- **Authorized official:** YOLANDA P THREAT REGISTERED NURSE (ADMINISTRATOR)
- **Authorized official phone:** (770) 299-1378

## Contact information

- **Practice address:** 478 NORTHDALE RD STE 201, LAWRENCEVILLE, GA 30046-8902
- **Practice address phone:** (770) 299-1378
- **Practice address fax:** (678) 878-4636
- **Mailing address:** 478 NORTHDALE RD STE 201, LAWRENCEVILLE, GA 30046-8902
- **Mailing address phone:** (770) 299-1378
- **Mailing address fax:** (678) 878-4636

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 07/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 067-R-1804 | PRIVATE HOME CARE PROVIDER PERMIT | GA |