Crown Signature Home Care
In Home Supportive Care in Mcdonough, GA. Organization (NPI-2).
NPI number1427996172
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1427996172
- Entity type
- Organization (NPI-2)
- Legal business name
- Crown Signature Home Care
- Organization subpart
- No
- Enumeration date
- Mar 24, 2026
- Certification date
- Mar 23, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251J00000X | Nursing Care | – | – |
Practice location
425 Grandiflora DrMcdonough, GA 30253-8009
Phone 770-609-9225
Mailing address
2086 Jodeco Rd # 1661Mcdonough, GA 30253-5220
Phone 770-609-9225
Authorized official
Tiara Jackson
Owner
6783589243
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