Organization
CLARENCE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY RENEE HAYES (OWNER)
(404) 246-2470
Entity
Organization
Contact information
Practice address
100 HARTSFIELD CENTER PKWY STE 500, ATLANTA, GA 30354-1377
(678) 515-2148
Mailing address
100 HARTSFIELD CENTER PKWY STE 500, ATLANTA, GA 30354-1377
(678) 515-2148
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GBL-0322-111158
—
GA
Enumeration date
05/03/2022
Last updated
05/03/2022
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