Organization
TRUECARE HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMSON ISIBOR (ADMINISTRATOR)
(404) 468-1145
Entity
Organization
Contact information
Practice address
4977 LYNNONHALL CT, LITHONIA, GA 30038-4327
(404) 468-1145
(404) 468-1145
Mailing address
PO BOX 487, LITHONIA, GA 30058-0487
(404) 468-1145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-1631
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044-R-1631
GA DCH
GA
Enumeration date
08/29/2017
Last updated
08/29/2017
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