Organization
SIMPLICITYS PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE RACHEL (ADMINISTRATOR)
(678) 886-7320
Entity
Organization
Contact information
Practice address
6741 CHURCH ST STE 2, RIVERDALE, GA 30274-2249
(678) 886-7320
Mailing address
PO BOX 11, ATLANTA, GA 30301-0011
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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