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Organization
GRASSROOT TENDER CARE
Active
Organization
GRASSROOT TENDER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FINE AKANBI (MANAGER)
(404) 396-5978
Entity
Organization
Contact information
Practice address
6961 PEACHTREE INDUSTRIAL BLVD, NORCROSS, GA 30092-3647
(404) 396-5978
(404) 601-6059
Mailing address
6855 DEER TRAIL LN, STONE MOUNTAIN, GA 30087-5496
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
067-R-0550
GA
Other
Enumeration date
04/13/2009
Last updated
05/28/2009
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