# PRIVATE HOME ASSISTANCE OF GEORGIA, INC.

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

## Provider details

- **NPI number:** 1689743833
- **Authorized official:** MR. RANDALL BROWN NHA (ADMINISTRATOR)
- **Authorized official phone:** (678) 355-6000

## Contact information

- **Practice address:** 707 WHITLOCK AVE SW, SUITE F-3, MARIETTA, GA 30064-3000
- **Practice address phone:** (678) 355-6000
- **Practice address fax:** (678) 355-6077
- **Mailing address:** 707 WHITLOCK AVE SW, SUITE F-3, MARIETTA, GA 30064-3000
- **Mailing address phone:** (678) 355-6000
- **Mailing address fax:** (678) 355-6077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 033-R-0085 | GA | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 04/23/2013