Individual
KOEKLAND THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 PEACHTREE RD NE STE 500, ATLANTA, GA 30326-3236
(800) 324-8586
Mailing address
6470 E JOHNS XING STE 160, DULUTH, GA 30097-1500
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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