Organization
DR.BOSTIC PRIVATE HOME CARE
Active
Other names
Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA BOSTIC (ADMINISTRATION)
(863) 777-3846
Entity
Organization
Contact information
Practice address
7670 CREEKSIDE LN, RIVERDALE, GA 30296-1173
(863) 777-3846
Mailing address
PO BOX 741888, RIVERDALE, GA 30274-1334
(863) 777-3846
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
05/07/2021
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