Organization
ELLIOTT'S LOVE AND CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE VERONICA VINES GRAY (PROVIDER ENROLLMENT)
(470) 258-1672
Entity
Organization
Contact information
Practice address
3386 SHADY HOLLOW RUN, STONE MOUNTAIN, GA 30087-4252
(404) 934-4285
Mailing address
PO BOX 390592, SNELLVILLE, GA 30039-0010
(404) 934-4285
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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