Organization
LA PAZ HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LA PAZ (SUPERVISOR)
(404) 229-4533
Entity
Organization
Contact information
Practice address
6974 SPRINGWOOD DR, DOUGLASVILLE, GA 30135-1543
(770) 854-0833
Mailing address
6974 SPRINGWOOD DR, DOUGLASVILLE, GA 30135-1543
(770) 854-0833
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
251J00000X
Nursing Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/16/2020
Last updated
12/09/2021
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