Organization
1ST GWINNETT HOME CARE LLC
Active
Other names
1st GWINNETT HOME CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BIMBO (CO-OWNER)
(678) 913-6977
Entity
Organization
Contact information
Practice address
3570 E 18TH ST BLDG 10123, ANTIOCH, CA 94509-7450
(678) 913-6977
Mailing address
3570 E 18TH ST BLDG 10123, ANTIOCH, CA 94509-7450
(678) 913-6977
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/10/2024
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