Organization
COMPASSIONATE CARE AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSE KEHOU LPN (CEO)
(678) 755-8910
Entity
Organization
Contact information
Practice address
2330 SCENIC HWY S, SNELLVILLE, GA 30078-3115
(678) 755-8910
Mailing address
2330 SCENIC HWY S, SNELLVILLE, GA 30078-3115
(678) 755-8910
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000123456789
—
GA
Enumeration date
01/24/2020
Last updated
01/24/2020
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