Organization
BENNETT PCH
Active
Other names
S & S PCH
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A BENNETT ETC (DIRECTOR)
(678) 791-5165
Entity
Organization
Contact information
Practice address
1877 SINGER WAY, LITHONIA, GA 30058
(678) 791-5165
(678) 395-3902
Mailing address
1877 SINGER WAY, LITHONIA, GA 30058
(678) 791-5165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
000778
GA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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