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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