Organization
BACCHUS PRIVATE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN ANN BACCHUS-LYNCH (OWNER)
(404) 468-7130
Entity
Organization
Contact information
Practice address
4925 BRIDLE POINT PARKWAY, SNELLVILLE, GA 30039
(404) 468-7130
(770) 679-0617
Mailing address
4925 BRIDLE POINT PKWY, SNELLVILLE, GA 30039-3343
(404) 468-7130
(770) 679-0617
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
067-R-1438
GA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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