Organization
AUTUMN HOME HEALTH TCOF
Active
Other names
AHHTCOF
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA OWES (OWNER)
(678) 451-4226
Entity
Organization
Contact information
Practice address
110 TRINITY DR, COVINGTON, GA 30016
(678) 451-4226
Mailing address
110 TRINITY DR, COVINGTON, GA 30016-8505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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