Organization
ATLANTA HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJEEV MATHUR (CEO)
(770) 579-9235
Entity
Organization
Contact information
Practice address
2351 MONTE VILLA CTS, MARIETTA, GA 30062-2897
(770) 579-9235
(770) 565-1563
Mailing address
2351 MONTE VILLA CTS, MARIETTA, GA 30062-2897
(770) 579-9235
(770) 565-1563
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
033-R-0017
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000708111A
—
GA
05
—
000878259B
—
GA
Enumeration date
12/12/2006
Last updated
10/06/2014
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