Organization
PEACHTREE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC ANTHONY WILLIAMS RN (OWNER)
(870) 945-5038
Entity
Organization
Contact information
Practice address
1220 MECASLIN ST NW APT 2432, ATLANTA, GA 30318-5659
(870) 945-5038
Mailing address
1220 MECASLIN ST NW APT 2432, ATLANTA, GA 30318-5659
(870) 945-5038
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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