Organization
PLAZA HOME CARE INC
Active
Other names
PLAZA HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY HILL (OWNER)
(770) 459-2999
Entity
Organization
Contact information
Practice address
220 W. WILSON ST., VILLA RICA, GA 30180-1807
(770) 459-2999
(770) 459-2288
Mailing address
220 W. WILSON ST., VILLA RICA, GA 30180-1807
(770) 459-2999
(770) 459-2288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHRE005636
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHRE005636
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000212066B
—
GA
05
—
00212066A
—
GA
05
—
00212066B
—
GA
01
—
1125841
NCPDP PIN
GA
01
—
1125841
NCPDP PIN
—
Enumeration date
06/16/2006
Last updated
03/27/2017
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