1st Gwinnett Home Care LLC

NPI #1215614482 in Dacula, Georgia

Provider Information

NPI Number: 1215614482
Entity Type: Organization
Organization Name: 1st Gwinnett Home Care LLC
Primary Specialty: Home Health
Enumeration Date: Jun 29, 2023
Last Updated: Jul 25, 2024

Practice Location

Address: 1743 CROSSWATERS CT
City: Dacula
State: Georgia
ZIP Code: 30019-1729
Phone: (612) 396-4827

Authorized Official

Name: LAURA NDINGWAN
Title: OWNER/PRESIDENT
Phone: (612) 396-4827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Home Health	251E00000X	Primary

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