Organization · NPI-2

365 Health Care Agency, LLC

In Home Supportive Care · Mableton, GA

NPI number1306550967
StatusActive
Last updated in NPPESJan 9, 2023

Details

NPI
1306550967
Entity type
Organization (NPI-2)
Legal business name
365 Health Care Agency, LLC
Organization subpart
No
Enumeration date
Jan 9, 2023
Certification date
Jan 9, 2023
Last updated
Jan 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

568 Vintage Pointe Run
Mableton, GA 30126-7211

Phone 404-322-8349

Mailing address

568 Vintage Pointe Run
Mableton, GA 30126-7211

Phone 404-322-8349

Authorized official

Nickiea Keese
Owner/President
4043228349

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