Organization
EXPRESS PROFESSIONAL HOMECARE,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENULA RHONE RN (OWNER)
(678) 292-6651
Entity
Organization
Contact information
Practice address
3469 LAWRENCEVILLE HWY STE 300, TUCKER, GA 30084-5890
(678) 292-6651
(678) 292-6702
Mailing address
3469 LAWRENCEVILLE HWY STE 300, TUCKER, GA 30084-5890
(678) 292-6651
(678) 292-6702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000X
—
GA
Enumeration date
06/23/2022
Last updated
06/23/2022
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