Peniston Personal Care Home,llc

NPI #1003465626 in Fairburn, Georgia

Provider Information

NPI Number
1003465626
Entity Type
Organization
Organization Name
Peniston Personal Care Home,llc
Primary Specialty
Home Health
Enumeration Date
Sep 6, 2019
Last Updated
May 18, 2023

Practice Location

Address
4680 SUNDRIDGE TRL
State
Georgia
ZIP Code
30213-1997
Phone
(678) 545-3934

Authorized Official

Name
BREEZY U HOUSTON
Title
OWNER
Phone
(678) 545-3934

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Home HealthHome Health
Home Health Aide
Home Health

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