Organization
CHANTILLY HOMECARE
Active
Other names
The Chantilly Company Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA YOUNG (REGISTERED AGENT)
(404) 482-4724
Entity
Organization
Contact information
Practice address
1822 BROAD RIVER RD, ATLANTA, GA 30349-9169
(404) 482-4724
Mailing address
1822 BROAD RIVER RD, ATLANTA, GA 30349-9169
(404) 482-4724
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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