Organization
123 GA HOME HEATHCARE LLLP
Active
Organization
123 GA HOME HEATHCARE LLLP
Active
Other names
123 Ga Home HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK WHISBY (EXECUTIVE DIRECTOR)
(470) 554-6864
Entity
Organization
Contact information
Practice address
767 NORTH AVE, JONESBORO, GA 30236-2232
(678) 846-9557
Mailing address
767 NORTH AVE, JONESBORO, GA 30236-2232
(678) 846-9557
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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