Organization
ADVIR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J WASHINGTON REGISTERED NURSE (CEO)
(404) 829-2682
Entity
Organization
Contact information
Practice address
3851 LINCOLN JONES RD STE B, ELLENWOOD, GA 30294-1828
(404) 829-2682
(404) 795-0854
Mailing address
3851 LINCOLN JONES RD STE B, ELLENWOOD, GA 30294-1828
(404) 829-2682
(404) 795-0854
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
Other
Enumeration date
04/06/2013
Last updated
04/06/2013
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