Organization
GENTACARE HOME MEDICAL WELLNESS, LLC
Active
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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