# CPG PRIVATE HOME CARE PROVIDERS, LLC

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

## Provider details

- **NPI number:** 1902407901
- **Authorized official:** PAMELA L CURRY (OWNER/PARTNER/CFO & ADMINISTRATOR)
- **Authorized official phone:** (770) 875-1522

## Contact information

- **Practice address:** 238 STOCKBRIDGE RD STE 215, JONESBORO, GA 30236-3629
- **Practice address phone:** (770) 492-2903
- **Mailing address:** 7787 CLEARVIEW CIR, RIVERDALE, GA 30296-3383
- **Mailing address phone:** (770) 875-1522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 11/05/2020
- **Last updated:** 11/05/2020