Organization
DENHAVENS PCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELIA MODICUE (DIRECTOR)
(404) 441-1000
Entity
Organization
Contact information
Practice address
3675 CRESTWOOD PKWY NW STE 400, DULUTH, GA 30096-5054
(404) 441-1000
Mailing address
3675 CRESTWOOD PKWY NW STE 400, DULUTH, GA 30096-5054
(404) 441-1000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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