Organization
CELESTIAL PRIVATE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY DAVIS (ADMINISTRATOR)
(770) 626-3865
Entity
Organization
Contact information
Practice address
2900 CHAMBLEE TUCKER RD STE 100, CHAMBLEE, GA 30341-4100
(770) 626-3865
(770) 626-3867
Mailing address
9442 S MAIN ST STE 107, JONESBORO, GA 30236-6000
(678) 972-4191
(770) 626-3867
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/28/2021
Last updated
11/20/2024
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