Organization
ST. CHRISTOPHERS PRIVATE HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LORRAINE HESTER (OWNER)
(770) 371-5108
Entity
Organization
Contact information
Practice address
110 HABERSHAM DR STE 117, FAYETTEVILLE, GA 30214
(770) 371-5108
(770) 371-5002
Mailing address
110 HABERSHAM DR STE 117, FAYETTEVILLE, GA 30214-1381
(770) 371-5108
(770) 371-5002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
GA
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
Other
Enumeration date
07/25/2018
Last updated
08/28/2018
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