Organization
PROFESSIONAL CARE NURSING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL NICOLA MASCOE CEO (CEO)
(678) 462-1185
Entity
Organization
Contact information
Practice address
1670 MCKENDREE CHURCH RD STE B, LAWRENCEVILLE, GA 30043-4107
(678) 462-1185
(678) 269-4002
Mailing address
1670 MCKENDREE CHURCH RD STE 50, LAWRENCEVILLE, GA 30043-6676
(678) 462-1185
(678) 269-4002
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/23/2021
Last updated
12/11/2024
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