Organization
PEACH FAMILY HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY PARKS (OWNER)
(404) 295-4085
Entity
Organization
Contact information
Practice address
3325 SQUIRE LN SE, CONYERS, GA 30094-3540
(404) 295-4085
Mailing address
3325 SQUIRE LN SE, CONYERS, GA 30094-3540
(140) 429-5408
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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