# RW CONVERGENCE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Right at Home of Northeast GA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871965327
- **Authorized official:** MR. WILLIAM R. YOUNGBLOOD (PRESIDENT)
- **Authorized official phone:** (770) 535-3007

## Contact information

- **Practice address:** 731 QUEEN CITY PKWY STE 102, GAINESVILLE, GA 30501
- **Practice address phone:** (770) 535-3007
- **Practice address fax:** (770) 533-9007
- **Mailing address:** 3130 ALENES DR, GAINESVILLE, GA 30506-3746
- **Mailing address phone:** (770) 535-3007
- **Mailing address fax:** (770) 533-9007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 069-R-0680 | GA | Yes |

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 07/13/2018
