Organization
REDWOOD PRIVATE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWMY BOULOUTE DPM (OWNER)
(678) 517-4214
Entity
Organization
Contact information
Practice address
3715 NORTHSIDE PARKWAY, BUILDING 100 - SUITE 500, ATLANTA, GA 30327
(678) 517-4214
Mailing address
3904 N DRUID HILLS RD STE 104, DECATUR, GA 30033-3105
(678) 517-4214
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
05/23/2022
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