Organization
MOTIVATED HANDS ASSISTED LOVING CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COFFY TRIMBLE (CEO)
(770) 265-7136
Entity
Organization
Contact information
Practice address
5392 TERRYTOWN LN, LITHONIA, GA 30038-3900
(678) 663-3832
Mailing address
2645 WILLIAMS GRANT REYNOLDS DR APT A, LITHONIA, GA 30058-4510
(678) 663-3832
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20245153
CONTROL NUMBER
GA
Enumeration date
01/24/2018
Last updated
09/16/2021
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