Organization
COMMUNITY 1ST HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL MOSLEY (OWNER/VICE PRESIDENT)
(404) 246-3454
Entity
Organization
Contact information
Practice address
4015 BROADLEAF WALK, ELLENWOOD, GA 30294-1995
(404) 246-3454
Mailing address
4015 BROADLEAF WALK, ELLENWOOD, GA 30294-1995
(404) 246-3454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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