Organization
PRIDE HEALTHCARE STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MANDIBAYA (ADMINISTRATOR)
(404) 333-5281
Entity
Organization
Contact information
Practice address
3449 ALLIE DR, SNELLVILLE, GA 30039-7105
(404) 484-8048
(770) 686-3109
Mailing address
3449 ALLIE DR, SNELLVILLE, GA 30039-7105
(404) 484-8048
(770) 686-3109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
067-R-1905
GA
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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