Organization
HOME ETHICS HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNEAU JEAN-SIMON MS (CEO)
(347) 645-5499
Entity
Organization
Contact information
Practice address
310 IVANHOE DR, FAYETTEVILLE, GA 30215
(347) 645-5499
(470) 567-1839
Mailing address
310 IVANHOE DR, FAYETTEVILLE, GA 30215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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