Organization
MAGNOLIA DOVES PRIVATE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA SHAW (OWNER)
(678) 521-0233
Entity
Organization
Contact information
Practice address
4555 FLAT SHOALS PKWY, DECATUR, GA 30034-5040
(678) 521-0233
Mailing address
4555 FLAT SHOALS PKWY, DECATUR, GA 30034-5040
(678) 521-0233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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