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Georgia Life Healthcare, LLC

Home Health in Mableton, GA. Organization (NPI-2).

NPI number1164182168
StatusActive
Last updated in NPPESDec 19, 2021

Details

NPI
1164182168
Entity type
Organization (NPI-2)
Legal business name
Georgia Life Healthcare, LLC
Organization subpart
No
Enumeration date
Dec 19, 2021
Certification date
Dec 19, 2021
Last updated
Dec 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

5305 Burrus Ln
Mableton, GA 30126-3043

Phone 404-219-4305

Mailing address

5305 Burrus Ln
Mableton, GA 30126-3043

Phone 404-219-4305

Authorized official

Rashaad Hannah
Owner
4042194305

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