# MID GEORGIA HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Griswold Home Care Covington-Greensboro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609246586
- **Authorized official:** RHONDA KIDD HARRIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (404) 731-6061

## Contact information

- **Practice address:** 10277 INDUSTRIAL BLVD, COVINGTON, GA 30014-1485
- **Practice address phone:** (706) 383-7779
- **Mailing address:** PO BOX 309, COVINGTON, GA 30015-0309
- **Mailing address phone:** (706) 383-7779
- **Mailing address fax:** (470) 444-1790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 117-R-1268 | GA | Yes |

## Other

- **Enumeration date:** 10/05/2015
- **Last updated:** 10/05/2015
