Organization
PRIVATE HOME CARE PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY JONES (CEO)
(404) 273-8545
Entity
Organization
Contact information
Practice address
342 MARIETTA ST NW APT 10, ATLANTA, GA 30313-1645
(404) 273-8545
Mailing address
342 MARIETTA ST NW APT 10, ATLANTA, GA 30313-1645
(404) 273-8545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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