# GEORGIA PRIME HOME CARE

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

## Provider details

- **NPI number:** 1902640683
- **Authorized official:** MUHAMED RIZVANOVIC (DIRECTOR)
- **Authorized official phone:** (678) 956-1343

## Contact information

- **Practice address:** 500 SUN VALLEY DR STE A1, ROSWELL, GA 30076-1480
- **Practice address phone:** (678) 956-1343
- **Mailing address:** 500 SUN VALLEY DR STE A1, ROSWELL, GA 30076-1480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2024
- **Last updated:** 06/19/2024