Organization · NPI-2

Fresh Wind Private Homecare LLC

Home Health Aide · Jonesboro, GA

NPI number1982564985
StatusActive
Last updated in NPPESNov 13, 2025

Details

NPI
1982564985
Entity type
Organization (NPI-2)
Legal business name
Fresh Wind Private Homecare LLC
Organization subpart
No
Enumeration date
Nov 13, 2025
Certification date
Nov 13, 2025
Last updated
Nov 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

9633 Utah Dr
Jonesboro, GA 30238-8700

Phone 770-572-4224

Mailing address

9633 Utah Dr
Jonesboro, GA 30238-8700

Phone 770-572-4224

Authorized official

Marcus Mosley
Ceo
7705724224

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