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Individual

ROBERSON JEAN PHILIPPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PRIVATE HOME CARE

Contact information

Practice address
3340 PEACHTREE RD NE STE 1800, ATLANTA, GA 30326-1064
(678) 596-3904
Mailing address
3340 PEACHTREE RD NE STE 1800, ATLANTA, GA 30326-1064
(678) 596-3904

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
251J00000X
Nursing Care Agency
Primary
3747P1801X
Personal Care Attendant
PHCP010709
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82-4635716
IRS
GA
Enumeration date
06/03/2020
Last updated
08/05/2020
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