Organization
IN TARA CARE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATARA DAVIS (MANAGING MEMBER/OWNER)
(601) 695-2519
Entity
Organization
Contact information
Practice address
2000 BOULDERCREST RD SE APT E19, ATLANTA, GA 30316-3977
(601) 695-2519
Mailing address
2000 BOULDERCREST RD SE APT E19, ATLANTA, GA 30316-3977
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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