# EN VIDA HOME CARE LLC

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

## Provider details

- **NPI number:** 1578291654
- **Authorized official:** DR. KATARRA ASHLEY (OWNER)
- **Authorized official phone:** (404) 956-9698

## Contact information

- **Practice address:** 150 MEDICAL WAY STE E, RIVERDALE, GA 30274-2533
- **Practice address phone:** (404) 956-9698
- **Mailing address:** 949 CHURCH ST, DECATUR, GA 30030-1872
- **Mailing address phone:** (470) 599-2324

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 08/08/2022
