Organization · NPI-2

A Superior Choice Medical Staffing LLC

In Home Supportive Care · Atlanta, GA

NPI number1629468392
StatusActive
Last updated in NPPESJun 12, 2015

Details

NPI
1629468392
Entity type
Organization (NPI-2)
Legal business name
A Superior Choice Medical Staffing LLC
Organization subpart
No
Enumeration date
Feb 2, 2015
Last updated
Jun 12, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care060-R-0154GAYes
251E00000X Home Health060-R-0154GA

Practice location

5881 Glenridge Dr
Suite 140
Atlanta, GA 30328-5301

Phone 404-257-1608 · Fax 404-257-1609

Mailing address

5881 Glenridge Dr
Suite 140
Atlanta, GA 30328-5301

Phone 404-257-1608 · Fax 404-257-1609

Authorized official

Brian Lacey
Ceo
6784641397

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