Organization
HOUSERN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HARRISON (REGISTERED NURSE)
(678) 494-9500
Entity
Organization
Contact information
Practice address
300 WINTERTHUR ESTATES TRCE, CANTON, GA 30114-8835
(678) 494-9500
Mailing address
300 WINTERTHUR ESTATES TRCE, CANTON, GA 30114-8835
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/07/2007
Last updated
10/07/2007
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