Organization
ELIZABETH HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY WILLIAMS RN (RN)
(912) 398-4971
Entity
Organization
Contact information
Practice address
2548 RAINMAKER DR, DECATUR, GA 30034-2161
(912) 398-4971
Mailing address
2548 RAINMAKER DR, DECATUR, GA 30034-2161
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RN176712
GA
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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