Organization
REBIRTH HOME CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLETT WALLER (OWNER)
(678) 971-2844
Entity
Organization
Contact information
Practice address
3915 CASCADE RD SW, SUITE 110-B, ATLANTA, GA 30331-8512
(678) 971-2844
Mailing address
3915 CASCADE RD SW, SUITE 110-B, ATLANTA, GA 30331-8512
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
08/14/2012
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