Organization
GR8 SENIOR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMORY WILSON RN (OWNER/ADMINISTRATOR)
(866) 478-6377
Entity
Organization
Contact information
Practice address
3400 CHAPEL HILL RD STE 221, DOUGLASVILLE, GA 30135-1739
(866) 478-6377
Mailing address
3400 CHAPEL HILL RD STE 221, DOUGLASVILLE, GA 30135-1739
(866) 478-6377
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
02/03/2025
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