Organization
2CBO HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DAVID RUDDER RN (ADMINISTRATOR)
(770) 649-3933
Entity
Organization
Contact information
Practice address
833 CAMPBELL HILL ST NW STE 116, MARIETTA, GA 30060-1135
(770) 649-3933
Mailing address
2262 MERRYMOUNT DR, SUWANEE, GA 30024-2792
(770) 649-3933
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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