Organization
FAMILY PROVIDENCE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIYA HILL (OWNER)
(770) 250-1758
Entity
Organization
Contact information
Practice address
2744 POWELL CT, MONROE, GA 30656-8675
(770) 250-1758
Mailing address
146 MLK JR BLVD # 253, MONROE, GA 30655-5620
(770) 250-1758
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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