# ABA HOMECARE LLC

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

## Provider details

- **NPI number:** 1649044744
- **Authorized official:** RENAI ALLEN DNP, APRN (CEO)
- **Authorized official phone:** (678) 389-1881

## Contact information

- **Practice address:** 1775 PARKER ROAD, SUITE 210, CONYERS, GA 30094
- **Practice address phone:** (678) 389-1881
- **Practice address fax:** (800) 480-8076
- **Mailing address:** 1775 PARKER RD SE STE 210, CONYERS, GA 30094-6654
- **Mailing address phone:** (678) 389-1881

## Taxonomy

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

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 07/31/2024