Organization
FAMILY PRIVATE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY PLUMMER (CEO)
(404) 252-9005
Entity
Organization
Contact information
Practice address
6065 LAKE FORREST DR NW, SUITE 170, SANDY SPRINGS, GA 30328-3850
(404) 252-9005
(404) 252-9035
Mailing address
6065 LAKE FORREST DR NW, SUITE 170, SANDY SPRINGS, GA 30328-3850
(404) 252-9005
(404) 252-9035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R-0138
GA
251J00000X
Nursing Care Agency
060-R-0138
GA
253Z00000X
In Home Supportive Care Agency
060-R-0138
GA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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