Organization
GENTACARE HOME MEDICAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANETTA LAFREDA PAYNE RN (DIRECTOR OF NURSING)
(404) 222-9909
Entity
Organization
Contact information
Practice address
235 PEACHTREE ST NE, STE 400, ATLANTA, GA 30303-1401
(404) 222-9909
(678) 705-5661
Mailing address
235 PEACHTREE ST NE, STE 400, ATLANTA, GA 30303-1401
(404) 222-9909
(678) 705-5661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225600000X
Dance Therapist
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
GA
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
GA
251S00000X
Community/Behavioral Health Agency
—
GA
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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