Organization
AT HOME ADVANTAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN SUSAN F PYRON (ADMINISTRATOR)
(770) 596-5882
Entity
Organization
Contact information
Practice address
190 POND TRCE, FAYETTEVILLE, GA 30215-5353
(770) 460-9750
Mailing address
190 POND TRCE, FAYETTEVILLE, GA 30215-5353
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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