Organization
HOME HEALTHCARE/CPR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILA RENEE REESE (CEO)
(678) 571-7890
Entity
Organization
Contact information
Practice address
805 MOUNTAIN OAKS PKWY, STONE MOUNTAIN, GA 30087-4744
(678) 571-7890
(678) 580-0462
Mailing address
PO BOX 870984, STONE MOUNTAIN, GA 30087-0025
(678) 571-7890
(678) 580-0462
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN070868
GA
Other
Enumeration date
03/09/2011
Last updated
03/10/2011
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