Organization
GOLDEN BRIDGES PRIVATE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELTON D SHATTEEN (CEO)
(770) 407-9957
Entity
Organization
Contact information
Practice address
3186 EVANS MILL RD, LITHONIA, GA 30038-2420
(770) 407-9957
(470) 282-6806
Mailing address
3186 EVANS MILL RD, LITHONIA, GA 30038-2420
(770) 407-9957
(470) 282-6806
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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