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Organization
VISTAS HOME CARE, INC.
Active
Organization
VISTAS HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
N.KEMDI IHENACHO (OWNER)
(678) 904-7050
Entity
Organization
Contact information
Practice address
5329 MEMORIAL DR STE A, STONE MOUNTAIN, GA 30083-3212
(678) 904-7050
(678) 904-7051
Mailing address
PO BOX 870828, STONE MOUNTAIN, GA 30087-0021
(678) 904-7050
(678) 904-7051
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
044-R-0872
GA
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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