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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