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Access Home Care, LLC

In Home Supportive Care in Stone Mountain, GA. Organization (NPI-2).

NPI number1831674563
StatusActive
Last updated in NPPESSep 28, 2018

Details

NPI
1831674563
Entity type
Organization (NPI-2)
Legal business name
Access Home Care, LLC
Organization subpart
No
Enumeration date
Sep 28, 2018
Last updated
Sep 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
163W00000X Registered Nurse––
251E00000X Home Health––

Practice location

6200 Memorial Dr Ste I
Stone Mountain, GA 30083-2849

Phone 207-312-8676 · Fax 404-393-6227

Mailing address

Po Box 831113
Stone Mountain, GA 30083-0019

Authorized official

Mohamed Jama
Adminstrator
2073128676

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