Organization
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN PETGRAVE (CEO)
(678) 294-2403
Entity
Organization
Contact information
Practice address
5889 WHEELER RIDGE RD, AUBURN, GA 30011-3488
(678) 294-2403
Mailing address
5889 WHEELER RIDGE RD, AUBURN, GA 30011-3488
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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