Organization
FAMCARE CONNECT OF GEORGIA LLC
Active
Organization
FAMCARE CONNECT OF GEORGIA LLC
Active
Other names
FAMCare CONNECT
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LANE (DIRECTOR OF ADMINISTRATION)
(770) 633-8550
Entity
Organization
Contact information
Practice address
1172 OLD SALEM RD SE, CONYERS, GA 30094-5944
(770) 633-8550
Mailing address
1172 OLD SALEM RD SE, CONYERS, GA 30094-5944
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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