Organization
TAILORED IN-HOME CARE AND ASSISTANCE
Active
Other names
Tailored In-Home Care and Assistance
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY OTELUS (OWNER)
(678) 964-5436
Entity
Organization
Contact information
Practice address
1022 INDIAN TRAIL LILBURN RD NW STE C, LILBURN, GA 30047-6891
(678) 964-5436
(678) 573-6560
Mailing address
1022 INDIAN TRAIL LILBURN RD NW STE C, LILBURN, GA 30047-6891
(678) 964-5436
(678) 573-6560
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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