# HOMEWELL CARE SERVICES GA-349

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

## Provider details

- **NPI number:** 1770493009
- **Authorized official:** ANTRELL DEVONNA LEE (OWNER)
- **Authorized official phone:** (404) 734-1645

## Contact information

- **Practice address:** 123 N PATTERSON ST APT A, VALDOSTA, GA 31601-5659
- **Practice address phone:** (404) 734-1645
- **Mailing address:** 123 N PATTERSON ST APT A, VALDOSTA, GA 31601-5659
- **Mailing address phone:** (404) 734-1645

## Taxonomy

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

## Other

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