Organization
SHEPHERD HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIVYA JOHN MSN, RN, CNML (ADMINISTRATOR)
(325) 213-4116
Entity
Organization
Contact information
Practice address
2035 KENSINGTON CT SW, LILBURN, GA 30047-7800
(325) 213-4116
Mailing address
2035 KENSINGTON CT SW, LILBURN, GA 30047-7800
(325) 213-4116
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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