# BETTYCOMMUNITYHOMECARESERVICES

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

## Provider details

- **NPI number:** 1629987417
- **Authorized official:** SHERLEY JEAN LOUIS (OWNER)
- **Authorized official phone:** (404) 322-7049

## Contact information

- **Practice address:** 4021 ANNEEWAKEE RD LOT 33B, DOUGLASVILLE, GA 30135-4367
- **Practice address phone:** (404) 322-7049
- **Mailing address:** 4021 ANNEEWAKEE RD LOT 33B, DOUGLASVILLE, GA 30135-4367
- **Mailing address phone:** (404) 322-7049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2026
- **Last updated:** 09/05/2026
