Providence Care
NPI #1245857556 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1245857556
- Entity Type
- Organization
- Organization Name
- Providence Care
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jul 2, 2020
- Last Updated
- Jul 31, 2023
Practice Location
- Address
- 4062 PEACHTREE RD NE STE 112
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30319-3021
- Phone
- (404) 974-9744
Authorized Official
- Name
- DIAMOND WHITE
- Title
- OWNER
- Phone
- (404) 974-9744
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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