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Organization

ELIJAH HEALTH CARE SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRENDA ANNETT HERNANDEZ (ADMINISTRATOR)
(770) 210-4474
Entity
Organization

Contact information

Practice address
1547 STOCKBRIDGE RD, JONESBORO, GA 30236-3742
(770) 210-4474
(770) 210-4475
Mailing address
272 KYLE SPRINGS LN, JONESBORO, GA 30238-4890
(770) 210-4474
(770) 210-4475

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
031-R-0581
GA
253Z00000X
In Home Supportive Care Agency
031-R-0581
GA

Other

Enumeration date
03/10/2011
Last updated
03/10/2011
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