Organization
CARE SERVICES AT HOME
Active
Other names
Lone Shepherd Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS MAHACHI (EXECUTIVE DIRECTOR)
(404) 246-4935
Entity
Organization
Contact information
Practice address
165 W WIEUCA RD NE, SUITE 303, ATLANTA, GA 30342-3252
(404) 246-4935
Mailing address
165 W WIEUCA RD NE, SUITE 303, ATLANTA, GA 30342-3252
(404) 246-4935
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
GA
347C00000X
Private Vehicle
—
GA
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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