Organization
HOME CARE OF WEST GA LLC
Active
Other names
Prosper Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE ELIZABETH BAIRD (ADMINISTRATOR)
(678) 705-8717
Entity
Organization
Contact information
Practice address
3088 MERCER UNIVERSITY DRIVE, SUITE 210, CHAMBLEE, GA 30341
(678) 705-8717
(404) 935-6110
Mailing address
3088 MERCER UNIVERSITY DRIVE, SUITE 210, CHAMBLEE, GA 30341
(678) 705-8717
(404) 935-6110
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
060R0226
GA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/08/2009
Last updated
12/19/2014
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