Organization
NEW LIFE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA PARKER (CEO/ADMINISTRATOR)
(404) 695-5274
Entity
Organization
Contact information
Practice address
2140 MCGEE RD STE C350, SNELLVILLE, GA 30078-2987
(678) 514-2290
(678) 638-1081
Mailing address
2140 MCGEE RD STE C350, SNELLVILLE, GA 30078-2987
(678) 514-2290
(678) 638-1081
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
067-R-0814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582570436A
—
GA
Enumeration date
12/09/2010
Last updated
12/09/2010
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