# 4 SEASONS HOME CARE, INC.

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

## Provider details

- **NPI number:** 1871112342
- **Authorized official:** LOU ANN THOMBLEY (OWNER)
- **Authorized official phone:** (770) 419-5652

## Contact information

- **Practice address:** 78 COLE ST NE STE 100, MARIETTA, GA 30060-2020
- **Practice address phone:** (770) 419-5652
- **Practice address fax:** (770) 419-8587
- **Mailing address:** 78 COLE ST NE STE 100, MARIETTA, GA 30060-2020
- **Mailing address phone:** (770) 419-5652
- **Mailing address fax:** (770) 419-8587

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 04/14/2020