# GRASSROOT TENDER CARE

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

## Provider details

- **NPI number:** 1891938437
- **Authorized official:** MS. FINE AKANBI (MANAGER)
- **Authorized official phone:** (404) 396-5978

## Contact information

- **Practice address:** 6961 PEACHTREE INDUSTRIAL BLVD, NORCROSS, GA 30092-3647
- **Practice address phone:** (404) 396-5978
- **Practice address fax:** (404) 601-6059
- **Mailing address:** 6855 DEER TRAIL LN, STONE MOUNTAIN, GA 30087-5496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 067-R-0550 | GA | Yes |

## Other

- **Enumeration date:** 04/13/2009
- **Last updated:** 05/28/2009