Organization
S & S PRIVATE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKITA RANDLE-LEWIS (ADMINISTATOR)
(229) 573-7477
Entity
Organization
Contact information
Practice address
1208 WHISPERING PINES RD, ALBANY, GA 31707-3552
(229) 573-7477
(229) 329-4474
Mailing address
1208 WHISPERING PINES RD, ALBANY, GA 31707-3552
(229) 573-7477
(229) 329-4474
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
AB13-000011
GA
251E00000X
Home Health Agency
Primary
AB15-000411
GA
Other
Enumeration date
01/22/2013
Last updated
08/04/2020
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