Organization · NPI-2
Allstar Health Care INC
In Home Supportive Care · Marietta, GA
NPI number1699049429
StatusActive
Last updated in NPPESFeb 24, 2012
Details
- NPI
- 1699049429
- Entity type
- Organization (NPI-2)
- Legal business name
- Allstar Health Care INC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2012
- Last updated
- Feb 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | 033-R-0107 | GA | Yes |
Practice location
950 Cobb Pkwy SSuite 301
Marietta, GA 30060-6544
Phone 770-485-2408 · Fax 770-485-2417
Mailing address
950 Cobb Pkwy SSuite 301
Marietta, GA 30060-6544
Phone 770-485-2408 · Fax 770-485-2417
Authorized official
Victoria R Davis
Director
7704852408
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