Organization
ELITE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL WOMACK (OWNER)
(706) 464-6126
Entity
Organization
Contact information
Practice address
2892 WESTON BROOK LN, DULUTH, GA 30096-4995
(706) 464-6126
Mailing address
2892 WESTON BROOK LN, DULUTH, GA 30096-4995
(706) 464-6126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP010613
PRIVATE HOME CARE AGENCY LLC
GA
Enumeration date
02/02/2022
Last updated
02/02/2022
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