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Organization
GARDENIA HOME CARE SERVICES, L.L.C
Active
Organization
GARDENIA HOME CARE SERVICES, L.L.C
Active
Other names
Gardenia Home Care Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
THENETHONG SYBANGONE (CEO)
(404) 731-1882
Entity
Organization
Contact information
Practice address
2420 WORTH AVE, LOGANVILLE, GA 30052-3660
(404) 731-1882
Mailing address
2420 WORTH AVE, LOGANVILLE, GA 30052-3660
(404) 731-1882
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/31/2021
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