# A&C PRIVATE HOME CARE, LLC

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

## Provider details

- **NPI number:** 1598214181
- **Authorized official:** ANGELA C AGWUNOB (ADMINISTRATOR)
- **Authorized official phone:** (770) 776-6637

## Contact information

- **Practice address:** 4855 IVY RIDGE DR SE, UNIT 405, ATLANTA, GA 30339-1367
- **Practice address phone:** (770) 776-6637
- **Mailing address:** 4855 IVY RIDGE DR SE, UNIT 405, ATLANTA, GA 30339-1367
- **Mailing address phone:** (770) 776-6637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 033-R-1499 | GA | Yes |

## Other

- **Enumeration date:** 09/24/2016
- **Last updated:** 09/24/2016