Organization
MAURINA PRIVATE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN GICHARU (OWNER)
(404) 973-0500
Entity
Organization
Contact information
Practice address
220 BETHEL DR, DALLAS, GA 30157-6814
(404) 973-0500
Mailing address
251 WHITE PINES DR, DALLAS, GA 30157-8512
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
09/20/2023
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