Organization
SHELCOM HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA BUTEAU RN (CEO)
(678) 927-1592
Entity
Organization
Contact information
Practice address
880 STOKESWOOD AVE SE, ATLANTA, GA 30316-2649
(678) 927-1592
Mailing address
880 STOKESWOOD AVE SE, ATLANTA, GA 30316-2649
(678) 927-1592
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
RN188191
GA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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