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Organization
JASIAH'S PERSONAL CARE HOME
Active
Organization
JASIAH'S PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA EVANS (CEO)
(678) 638-9444
Entity
Organization
Contact information
Practice address
2323 CRIMSON CREEK LN, SNELLVILLE, GA 30078-5047
(678) 638-9444
Mailing address
2323 CRIMSON CREEK LN, SNELLVILLE, GA 30078-5047
(678) 638-9444
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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