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Organization
HOME CARE OF WEST GA LLC
Active
Organization
HOME CARE OF WEST GA LLC
Active
Other names
Prosper Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE ELIZABETH BAIRD (ADMINISTRATOR)
(678) 705-8717
Entity
Organization
Contact information
Practice address
3088 MERCER UNIVERSITY DRIVE, SUITE 210, CHAMBLEE, GA 30341
(678) 705-8717
(404) 935-6110
Mailing address
3088 MERCER UNIVERSITY DRIVE, SUITE 210, CHAMBLEE, GA 30341
(678) 705-8717
(404) 935-6110
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
060R0226
GA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/08/2009
Last updated
12/19/2014
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