Organization
PRIVE HOME CARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEISHA AIKEN (OWNER/OPERATOR)
(678) 593-5967
Entity
Organization
Contact information
Practice address
6864 HIDDENLAKE DR, REX, GA 30273-2163
(678) 593-5967
Mailing address
2045 MOUNT ZION RD STE 203, MORROW, GA 30260-3313
(678) 593-5967
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/09/2024
Last updated
07/11/2024
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