Organization
GARDENIA HOME CARE SERVICES, L.L.C
Active
Other names
Gardenia Home Care Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
THENETHONG SYBANGONE (CEO)
(404) 731-1882
Entity
Organization
Contact information
Practice address
2420 WORTH AVE, LOGANVILLE, GA 30052-3660
(404) 731-1882
Mailing address
2420 WORTH AVE, LOGANVILLE, GA 30052-3660
(404) 731-1882
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/31/2021
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