Organization
SARAH GRACE HOME CARE
Active
Other names
Sarah Grace Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN GITAU RN (DIRECTOR)
(678) 754-3533
Entity
Organization
Contact information
Practice address
2835 CHAPMAN CT, MARIETTA, GA 30066-3673
(678) 754-3533
Mailing address
2835 CHAPMAN CT, MARIETTA, GA 30066-3673
(678) 754-3533
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
163WC1500X
Community Health Registered Nurse
—
—
251G00000X
Community Based Hospice Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP010604
PRIVATE HOME CARE PROVIDER
GA
Enumeration date
01/14/2021
Last updated
01/14/2021
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