Organization
AID HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVANA L JOHNSON (ADMINISTRATOR)
(404) 324-1701
Entity
Organization
Contact information
Practice address
217 ARROWHEAD BLVD, JONESBORO, GA 30236-1169
(404) 400-2237
Mailing address
5050 UNION STREET, P.O.BOX 309, UNION CITY, GA 30291
(404) 400-2237
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NON-MEDICARE
GA
Enumeration date
10/05/2020
Last updated
10/05/2020
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