Organization
CANOPY HOMECARE, LLC
Active
Other names
BWell Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS STAMEY-LUCAS (CEO)
(770) 438-0033
Entity
Organization
Contact information
Practice address
2453 POWDER SPRINGS RD SW, SUITE 225, MARIETTA, GA 30064-4570
(770) 438-0033
Mailing address
2453 POWDER SPRINGS RD SW, SUITE 225, MARIETTA, GA 30064-4570
(770) 438-0033
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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