# GEORGIA HEIGHT PRIVATE CARE

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

## Provider details

- **NPI number:** 1972800985
- **Authorized official:** MS. GLORIA SAMSON (OWNER)
- **Authorized official phone:** (770) 572-6553

## Contact information

- **Practice address:** 5255 SNAPFINGER PARK DR, SUITE 145, DECATUR, GA 30035-4084
- **Practice address phone:** (770) 572-6553
- **Practice address fax:** (770) 322-0163
- **Mailing address:** PO BOX 831895, STONE MOUNTAIN, GA 30083-0032
- **Mailing address phone:** (770) 572-6553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 044-R-0820 | GA | Yes |

## Other

- **Enumeration date:** 02/28/2011
- **Last updated:** 02/28/2011