Golden Bridges Private Home Care, LLC
Home Health Aide in Lithonia, GA. Organization (NPI-2).
NPI number1871127837
StatusActive
Last updated in NPPESFeb 28, 2020
Details
- NPI
- 1871127837
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Bridges Private Home Care, LLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2020
- Certification date
- Feb 28, 2020
- Last updated
- Feb 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
3186 Evans Mill RdLithonia, GA 30038-2420
Phone 770-407-9957 · Fax 470-282-6806
Mailing address
3186 Evans Mill RdLithonia, GA 30038-2420
Phone 770-407-9957 · Fax 470-282-6806
Authorized official
Shelton D Shatteen
Ceo
7704079957
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