Organization
GEORGIA COMMUNITY PRIVATE HOME CARE SERVICES
Active
Other names
Georgia Home Health Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IYABO OLATUNDE AKINTOMIDE (OWNER)
(770) 987-7053
Entity
Organization
Contact information
Practice address
5644 HUNTERS CROSSING CT, LITHONIA, GA 30038-1529
(770) 987-7053
(770) 987-5571
Mailing address
5644 HUNTERS CROSSING CT, LITHONIA, GA 30038-1529
(770) 987-7053
(770) 987-5571
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
044-R-0497
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207881949A
—
GA
Enumeration date
07/12/2010
Last updated
07/12/2010
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