Organization
POLITE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL RENEE POLITE (ADMINISTRATOR)
(706) 504-7115
Entity
Organization
Contact information
Practice address
1382 WALTON LOOP, HEPHZIBAH, GA 30815-8914
(706) 504-7115
Mailing address
1382 WALTON LOOP, HEPHZIBAH, GA 30815-8914
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LBC20140001185
GA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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