Organization
COMPLETE CARE AT HOME, LLC
Active
Other names
Complete Care At Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARLEEN REISMAN MSN, CNP (ADMINISTRATOR)
(770) 551-9533
Entity
Organization
Contact information
Practice address
11 DUNWOODY PARK, SUITE 140, DUNWOODY, GA 30338-7408
(770) 551-9533
Mailing address
11 DUNWOODY PARK, SUITE 140, DUNWOODY, GA 30338-7408
(770) 551-9533
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
060-R-0250
GA
253Z00000X
In Home Supportive Care Agency
Primary
060-R-0250
GA
Other
Enumeration date
02/16/2016
Last updated
05/05/2017
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