Organization
ZENA HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE STEWART RN (ADMINISTRATOR)
(706) 426-5967
Entity
Organization
Contact information
Practice address
2029 KENNESAW WAY, GROVETOWN, GA 30813-3173
(706) 426-5967
(706) 432-1043
Mailing address
4115 COLUMBIA RD, STE 5, PMB 160, MARTINEZ, GA 30907
(706) 426-5967
(706) 432-1043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/07/2019
Last updated
02/25/2019
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