Organization
MBM HOME CARE, LLC
Active
Other names
Home Instead
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT MCCLURE (MEMBER)
(501) 516-1138
Entity
Organization
Contact information
Practice address
1720 MOUNT VERNON RD STE A, ATLANTA, GA 30338-4269
(770) 392-8952
Mailing address
1720 MOUNT VERNON RD STE A, ATLANTA, GA 30338-4269
(770) 392-8952
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044-R-0095
—
GA
Enumeration date
06/30/2021
Last updated
01/03/2023
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