Organization
HOMECARE PROVIDERS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA G BUTT (ADMINSTRATOR)
(678) 760-8886
Entity
Organization
Contact information
Practice address
3949 ELMSIDE VILLAGE LN, SUITE F, NORCROSS, GA 30092-7216
(678) 760-8886
Mailing address
PO BOX 895, STONE MOUNTAIN, GA 30086-0895
(678) 760-8886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
534170545A
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534170545A
—
GA
Enumeration date
07/17/2008
Last updated
07/17/2008
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