Organization
PRIMARY HEALTH CARE RESOURCE SERVICE, LP
Active
Other names
Soft Hands of Clarkston Home Health Agency, LP
Organization subpart
No
Provider details
NPI number
Authorized official
NASRA MOHAMED MIRREH MSW (OWNER)
(404) 287-5406
Entity
Organization
Contact information
Practice address
5405 MEMORIAL DR STE 101, STONE MOUNTAIN, GA 30083-3234
(404) 287-5406
(404) 296-8743
Mailing address
5405 MEMORIAL DR STE 101, STONE MOUNTAIN, GA 30083-3234
(404) 287-5406
(404) 296-8743
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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