Organization
MENDING HOMES CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK HOLLOWAY (OWNER)
(678) 631-8121
Entity
Organization
Contact information
Practice address
12 WATERMIST LOOP, DALLAS, GA 30132-7590
(678) 631-8121
Mailing address
12 WATERMIST LOOP, DALLAS, GA 30132-7590
(678) 631-8121
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
01/05/2024
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