Organization
LEAGUE OF PRIVATE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WALTER BRADLEY II (ADMINISTRATOR)
(470) 377-1829
Entity
Organization
Contact information
Practice address
5310 ARBOR GATES DR NE, ATLANTA, GA 30324-5619
(470) 377-1829
Mailing address
5310 ARBOR GATES DR NE, ATLANTA, GA 30324-5619
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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