Organization
VILLAGE SAMARITAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASCHA N WILLIAMS LPN (EXECUTIVE DIRECTOR / OWNER)
(770) 830-5683
Entity
Organization
Contact information
Practice address
907 S PARK ST STE H, CARROLLTON, GA 30117-4455
(770) 830-5683
(770) 200-1959
Mailing address
907 S PARK ST STE H, CARROLLTON, GA 30117-4455
(770) 830-5683
(770) 200-1959
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
022-R-0494
GA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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