Organization
TILLMAN PRIVATE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARESA LASHUN TILLMAN (OWNER)
(762) 445-4925
Entity
Organization
Contact information
Practice address
122 WASHINGTON ST, JEFFERSON, GA 30549-6660
(762) 445-4925
Mailing address
PO BOX 54, HOSCHTON, GA 30548-0054
(762) 445-4925
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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