Organization
PRIVATE HOMESTEAD CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE W. SIMON RN (ORGANIZER)
(404) 957-7419
Entity
Organization
Contact information
Practice address
3500 MORINDA DR, DOUGLASVILLE, GA 30135-2727
(404) 957-7419
(770) 577-5876
Mailing address
3500 MORINDA DR, DOUGLASVILLE, GA 30135-2727
(404) 957-7419
(770) 577-5876
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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