# ABODE INDEPENDENCE HOME CARE LLC.

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

## Provider details

- **NPI number:** 1851066740
- **Authorized official:** MS. TIEARA DIJON FREEMAN MS (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (770) 203-6660

## Contact information

- **Practice address:** 140 AL JENNAH BLVD, LOCUST GROVE, GA 30248-3753
- **Practice address phone:** (770) 927-8119
- **Mailing address:** 140 AL JENNAH BLVD, LOCUST GROVE, GA 30248-3753
- **Mailing address phone:** (770) 927-8119

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 08/12/2021