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Organization
PEACE AT LAST PRIVATE HOME CARE LLC.
Active
Organization
PEACE AT LAST PRIVATE HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKESHA MCMINNS (ADMINISTRATOR)
(470) 246-5522
Entity
Organization
Contact information
Practice address
5596 MAYFAIR CROSSING DR, LITHONIA, GA 30038-1182
(770) 905-3544
Mailing address
5596 MAYFAIR CROSSING DR, LITHONIA, GA 30038-1182
(770) 905-3544
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
NULL
163WC0400X
Case Management Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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