Organization
ACE PERSOANAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY CYNTHIA LEACH (EXECUTIVE DIRECTOR)
(770) 728-1279
Entity
Organization
Contact information
Practice address
2713 NEPTUNE PL, DECATUR, GA 30034-1816
(678) 705-7986
Mailing address
140 MISSION POINTE LN, COVINGTON, GA 30016-6657
(770) 728-1279
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
15308
GA
Other
Enumeration date
06/28/2006
Last updated
08/26/2011
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