Organization
PEACH STATE HOME CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VU HOANG (OWNER)
(678) 814-7966
Entity
Organization
Contact information
Practice address
1560 CHADWICK DR, LAWRENCEVILLE, GA 30043-7092
(678) 814-7966
Mailing address
1560 CHADWICK DR, LAWRENCEVILLE, GA 30043-7092
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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