# GR8 SENIOR CARE, LLC

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

## Provider details

- **NPI number:** 1770137622
- **Authorized official:** MR. SAMORY WILSON RN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (866) 478-6377

## Contact information

- **Practice address:** 3400 CHAPEL HILL RD STE 221, DOUGLASVILLE, GA 30135-1739
- **Practice address phone:** (866) 478-6377
- **Mailing address:** 3400 CHAPEL HILL RD STE 221, DOUGLASVILLE, GA 30135-1739
- **Mailing address phone:** (866) 478-6377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2019
- **Last updated:** 02/03/2025