Organization
ABODE INDEPENDENCE HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIEARA DIJON FREEMAN MS (OWNER/ADMINISTRATOR)
(770) 203-6660
Entity
Organization
Contact information
Practice address
140 AL JENNAH BLVD, LOCUST GROVE, GA 30248-3753
(770) 927-8119
Mailing address
140 AL JENNAH BLVD, LOCUST GROVE, GA 30248-3753
(770) 927-8119
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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