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Organization

CATER HOME HEALTH CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRAH ROBERTS (OWNER)
(770) 648-7532
Entity
Organization

Contact information

Practice address
1424 VETERANS DR STE 3A, CONYERS, GA 30012-5258
(770) 648-7532
(678) 806-5555
Mailing address
1424 VETERANS DR STE 3A, CONYERS, GA 30012-5258
(770) 648-7532
(678) 806-5555

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
314000000X
Skilled Nursing Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003142254A
003142256A PEACH CARE FOR KIDS
GA
05
075-R-1076
GA
Enumeration date
02/01/2012
Last updated
12/11/2024
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