# REBIRTH HOME CARE SERVICES INC

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

## Provider details

- **NPI number:** 1578849303
- **Authorized official:** WILLETT WALLER (OWNER)
- **Authorized official phone:** (678) 971-2844

## Contact information

- **Practice address:** 3915 CASCADE RD SW, SUITE 110-B, ATLANTA, GA 30331-8512
- **Practice address phone:** (678) 971-2844
- **Mailing address:** 3915 CASCADE RD SW, SUITE 110-B, ATLANTA, GA 30331-8512

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2011
- **Last updated:** 08/14/2012