Organization
VALESSA COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE CALLOWAY (ADMINISTRATOR)
(470) 533-1199
Entity
Organization
Contact information
Practice address
2453 POWDER SPRINGS RD SW STE 320C, MARIETTA, GA 30064-4570
(470) 533-1199
(470) 533-1187
Mailing address
PO BOX 904, MABLETON, GA 30126-0904
(470) 533-1199
(470) 533-1187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP011066
PRIVATE
GA
Enumeration date
02/18/2022
Last updated
02/18/2022
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