Organization · NPI-2
4 Seasons Home Care, INC.
In Home Supportive Care · Marietta, GA
NPI number1871112342
StatusActive
Last updated in NPPESApr 14, 2020
Details
- NPI
- 1871112342
- Entity type
- Organization (NPI-2)
- Legal business name
- 4 Seasons Home Care, INC.
- Organization subpart
- No
- Enumeration date
- Apr 14, 2020
- Certification date
- Apr 14, 2020
- Last updated
- Apr 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
78 Cole St Ne Ste 100Marietta, GA 30060-2020
Phone 770-419-5652 · Fax 770-419-8587
Mailing address
78 Cole St Ne Ste 100Marietta, GA 30060-2020
Phone 770-419-5652 · Fax 770-419-8587
Authorized official
Lou Ann Thombley
Owner
7704195652
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