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Organization

COMMUNITY 1ST HOME HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KEYUANA DAVIS (OWNER)
(404) 246-3454
Entity
Organization

Contact information

Practice address
4015 BROADLEAF WALK, ELLENWOOD, GA 30294-1995
(404) 246-3454
Mailing address
4015 BROADLEAF WALK, ELLENWOOD, GA 30294-1995
(404) 246-3454

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/02/2022
Last updated
09/02/2022
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