Organization
GENCARE HEALTH AND CAREGIVER SERVICES LLC
Active
Organization
GENCARE HEALTH AND CAREGIVER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAUDREY STOKES BYRD NP (ADMINISTRATOR)
(678) 523-9046
Entity
Organization
Contact information
Practice address
7336 WESTWOOD LN, DOUGLASVILLE, GA 30134-1092
(850) 345-3311
Mailing address
7421 DOUGLAS BLVD STE N443, DOUGLASVILLE, GA 30135-1564
(678) 523-9046
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
09/03/2020
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