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Organization
YOURHOME SENIOR CARE LLC
Active
Organization
YOURHOME SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA WILKS (OWNER/ADMINISTRATOR)
(478) 994-9535
Entity
Organization
Contact information
Practice address
105 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-1698
(478) 952-1809
Mailing address
PO BOX 800, FORSYTH, GA 31029-0800
(478) 994-9535
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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