Organization
REPRIEVE HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHA FOSTER (OWNER/ADMINISTRATOR)
(770) 843-6117
Entity
Organization
Contact information
Practice address
95 LANDON WAY, COVINGTON, GA 30016-3402
(770) 843-6117
(470) 310-3466
Mailing address
3828 SALEM RD STE 35, COVINGTON, GA 30016-4528
(770) 843-6117
(470) 310-3466
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
107-R-1781
GA
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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