Organization
SACRED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANAE ELIZABETH WALTERS (OWNER)
(470) 257-9261
Entity
Organization
Contact information
Practice address
5516 GLEN HAVEN DR, COLLEGE PARK, GA 30349-6728
(470) 257-9261
Mailing address
5516 GLEN HAVEN DR, COLLEGE PARK, GA 30349-6728
(470) 257-9261
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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