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Organization

SPECIAL HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALONDRA C MUSTAFA (OWNER)
(833) 999-3003
Entity
Organization

Contact information

Practice address
546 TROPHY TRL, LAWRENCEVILLE, GA 30044-5474
(833) 999-3003
Mailing address
546 TROPHY TRL, LAWRENCEVILLE, GA 30044-5474
(833) 999-3003

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
08/26/2024
Last updated
08/29/2024
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