Organization
MEDICREST HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOVA E NIEVES (ADMINISTRATOR)
(404) 946-3313
Entity
Organization
Contact information
Practice address
15 JONESBORO ST, SUITE REAR, MCDONOUGH, GA 30253-3161
(404) 946-3313
Mailing address
15 JONESBORO ST, SUITE REAR, MCDONOUGH, GA 30253-3161
(404) 946-3313
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
075R0965
GA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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