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Organization

ELLSWORTH HEALTHCARE STAFFING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI LAWSON-ADAMS (CEO/DIRECTOR)
(404) 806-8164
Entity
Organization

Contact information

Practice address
160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
(404) 806-8164
(404) 369-0404
Mailing address
160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
(404) 806-8164
(404) 369-0404

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
044-R-1972
GA
253Z00000X
In Home Supportive Care Agency
Primary
044-R-1972
GA

Other

Enumeration date
07/23/2018
Last updated
07/23/2018
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