Organization
ELDER HOME CARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIGISH PATEL (VICE PRICEDENT)
(770) 937-9003
Entity
Organization
Contact information
Practice address
2759 DELK RD SE, SUIT#2135, MARIETTA, GA 30067-8847
(770) 937-9003
(770) 937-9004
Mailing address
2759 DELK RD SE, SUIT#2135, MARIETTA, GA 30067-8847
(770) 937-9003
(770) 937-9004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
033R0324
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003119479A
—
GA
05
—
695998601A
—
GA
05
—
695998601B
—
GA
Enumeration date
06/02/2014
Last updated
06/02/2014
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