Bennett Pch
Home Health in Lithonia, GA. Organization (NPI-2).
NPI number1689958076
StatusActive
Last updated in NPPESOct 4, 2011
Details
- NPI
- 1689958076
- Entity type
- Organization (NPI-2)
- Legal business name
- Bennett Pch
- Organization subpart
- No
- Enumeration date
- Oct 4, 2011
- Last updated
- Oct 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 000778 | GA | Yes |
Other names
- S & S Pch (Doing Business As)
Practice location
1877 Singer WayLithonia, GA 30058
Phone 678-791-5165 · Fax 678-395-3902
Mailing address
1877 Singer WayLithonia, GA 30058
Phone 678-791-5165
Authorized official
Michelle A Bennett
Director
6787915165
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