Organization
PIEDMONT HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLINS OBINNA LIVINUS (ADMINISTRATOR)
(404) 246-2166
Entity
Organization
Contact information
Practice address
773 HIGHWAY 138 SW STE 13, RIVERDALE, GA 30296-1599
(404) 937-9943
(770) 731-2641
Mailing address
773 HIGHWAY 138 SW STE 13, RIVERDALE, GA 30296-1599
(404) 937-9943
(770) 731-2641
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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