# YOURHOME SENIOR CARE LLC

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

## Provider details

- **NPI number:** 1982259487
- **Authorized official:** DIANA WILKS (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (478) 994-9535

## Contact information

- **Practice address:** 105 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-1698
- **Practice address phone:** (478) 952-1809
- **Mailing address:** PO BOX 800, FORSYTH, GA 31029-0800
- **Mailing address phone:** (478) 994-9535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2019
- **Last updated:** 08/02/2019