Organization · NPI-2
Gentle Rose Home Care LLC
In Home Supportive Care · Mableton, GA
NPI number1164095527
StatusActive
Last updated in NPPESNov 21, 2023
Details
- NPI
- 1164095527
- Entity type
- Organization (NPI-2)
- Legal business name
- Gentle Rose Home Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Nov 21, 2023
- Last updated
- Nov 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – |
Other names
- Gentle Rose Home Care (Doing Business As)
Practice location
6550 Valley Hill Dr SwMableton, GA 30126-5152
Phone 317-914-5778
Mailing address
6550 Valley Hill Dr SwMableton, GA 30126-5152
Phone 317-914-5778
Other practice locations
6550 Valley Hill Dr Sw
Mableton, GA 30126-5152
Mableton, GA 30126-5152
6550 Valley Hill Dr Sw
Mableton, GA 30126-5152
Mableton, GA 30126-5152
Authorized official
Robn Young
Owner/Manger
3179145778
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