Organization
FAMILY FIRST HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMERA ETCHISON RN (OWNER)
(404) 610-4506
Entity
Organization
Contact information
Practice address
1755 N BROWN RD STE 255, LAWRENCEVILLE, GA 30043-8198
(404) 610-4506
Mailing address
1755 N BROWN RD STE 255, LAWRENCEVILLE, GA 30043-8198
(404) 610-4506
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
00000
GA
Enumeration date
02/05/2021
Last updated
02/05/2021
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