Organization
GEORGIA HEIGHT PRIVATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA SAMSON (OWNER)
(770) 572-6553
Entity
Organization
Contact information
Practice address
5255 SNAPFINGER PARK DR, SUITE 145, DECATUR, GA 30035-4084
(770) 572-6553
(770) 322-0163
Mailing address
PO BOX 831895, STONE MOUNTAIN, GA 30083-0032
(770) 572-6553
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-0820
GA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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