Organization
CAPITOL HOME CARE SERVICES OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLYNIS LEFLORE (OWNER OPERATOR)
(404) 769-2464
Entity
Organization
Contact information
Practice address
4745 LEGACY COVE LN, MABLETON, GA 30126-2580
(404) 769-2464
Mailing address
4480 S COBB DR SE STE H-477, SMYRNA, GA 30080-6990
(404) 769-2464
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332S00000X
Hearing Aid Equipment
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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