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Organization

CHARLOTTE WEB PRIVATE HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIONNE PATRICIA NEWELL (ADMINISTRATOR)
(678) 598-0883
Entity
Organization

Contact information

Practice address
2140 ROCKBRIDGE RD STE 107, STONE MOUNTAIN, GA 30087-3507
(678) 598-0883
(770) 783-6549
Mailing address
2140 ROCKBRIDGE RD STE 107, STONE MOUNTAIN, GA 30087-3507
(678) 598-0883
(770) 783-6549

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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