Organization
CROWNCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LASHANDA YVONNE SCOTT (ADMINISTRATOR)
(770) 933-7899
Entity
Organization
Contact information
Practice address
2480 WINDY HILL RD SE STE 107, MARIETTA, GA 30067-8608
(770) 933-1899
(609) 935-1899
Mailing address
2480 WINDY HILL RD SE STE 107, MARIETTA, GA 30067-8608
(770) 933-1899
(609) 935-1899
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
033-R-0473
GA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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