Organization
MOBILE HOME HEALTH AIDE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDI LAWRENCE (OWNER)
(404) 749-6168
Entity
Organization
Contact information
Practice address
324 SAPPHIRE BND, RIVERDALE, GA 30296-6058
(404) 749-6168
Mailing address
324 SAPPHIRE BND, RIVERDALE, GA 30296-6058
(404) 749-6168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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