Organization
SUPERIOR PRIVATE HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KESHIA D HUTCHINSON (OWNER)
(678) 583-9842
Entity
Organization
Contact information
Practice address
1339 COCHRAN XING, MCDONOUGH, GA 30252-8072
(678) 583-9842
(678) 583-9842
Mailing address
1339 COCHRAN XING, MCDONOUGH, GA 30252-8072
(678) 583-9842
(678) 583-9842
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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