Organization
FAMILY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALENTINA LEBEAU (CEO)
(770) 437-0714
Entity
Organization
Contact information
Practice address
1791 SILVER LEAF CT, MARIETTA, GA 30008
(770) 437-0714
Mailing address
1791 SILVER LEAF CT, MARIETTA, GA 30008
(770) 437-0714
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
GA
253Z00000X
In Home Supportive Care Agency
Primary
130439
GA
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
130439
GA
385HR2065X
Child Physical Disabilities Respite Care
130439
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982935607
—
GA
Enumeration date
01/20/2010
Last updated
07/21/2022
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