Organization
PEACHTREE SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SPRINGER (OWNER/ADMINISTRATOR)
(770) 833-4364
Entity
Organization
Contact information
Practice address
401 WESTPARK CT STE 200, PEACHTREE CITY, GA 30269-3572
(770) 833-4364
Mailing address
401 WESTPARK CT STE 200, PEACHTREE CITY, GA 30269-3572
(770) 833-4364
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/23/2021
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