Organization
CARE SERVICES AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS MAHACHI (EXECUTIVE DIRECTOR)
(404) 246-4935
Entity
Organization
Contact information
Practice address
165 W WIEUCA RD NE, SUITE 303, ATLANTA, GA 30342
(404) 246-4935
(404) 748-9695
Mailing address
165 W WIEUCA RD NE, SUITE 303, ATLANTA, GA 30342-3252
(404) 246-4935
(404) 748-9695
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
033-R-0109
GA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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