Organization
AT HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE PERRY (ADMINISTRATOR)
(770) 210-6889
Entity
Organization
Contact information
Practice address
157 TYLER RDG, JONESBORO, GA 30238-5887
(770) 210-6889
Mailing address
157 TYLER RDG, JONESBORO, GA 30238-5887
(770) 210-6889
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
648042133A
—
GA
Enumeration date
09/18/2008
Last updated
09/18/2008
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