Organization
1ST GWINNETT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA NDINGWAN (OWNER/PRESIDENT)
(612) 396-4827
Entity
Organization
Contact information
Practice address
1743 CROSSWATERS CT, DACULA, GA 30019-1729
(612) 396-4827
Mailing address
35 FIRST ST STE 2, HOSCHTON, GA 30548-2234
(770) 318-7530
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/29/2023
Last updated
07/25/2024
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