Organization
I-CARE PRIVATE HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALRENE ALLEN-MARTIN RN (CEO/MANAGER)
(678) 687-7152
Entity
Organization
Contact information
Practice address
256 LASSITER DR, ELLENWOOD, GA 30294-2983
(678) 663-9597
(770) 474-3076
Mailing address
256 LASSITER DR, ELLENWOOD, GA 30294-2983
(678) 687-7152
(770) 474-3076
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
149168
GA
314000000X
Skilled Nursing Facility
—
GA
Other
Enumeration date
02/20/2008
Last updated
04/16/2009
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