Organization
SOLIDARITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHAEDRA R BROWN (OWNER/MANAGER)
(470) 707-3979
Entity
Organization
Contact information
Practice address
4670 BALD EAGLE WAY, DOUGLASVILLE, GA 30135-7489
(470) 707-3979
(678) 503-2021
Mailing address
4670 BALD EAGLE WAY, DOUGLASVILLE, GA 30135-7489
(470) 707-3979
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003247233A
—
GA
05
—
1295359388
—
GA
Enumeration date
06/03/2020
Last updated
05/20/2021
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