Organization
PEACE AT LAST PRIVATE HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKESHA MCMINNS (ADMINISTRATOR)
(470) 246-5522
Entity
Organization
Contact information
Practice address
5596 MAYFAIR CROSSING DR, LITHONIA, GA 30038-1182
(770) 905-3544
Mailing address
5596 MAYFAIR CROSSING DR, LITHONIA, GA 30038-1182
(770) 905-3544
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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