Ageless Private Home Healthcare

NPI #1295054278 in Loganville, Georgia

Provider Information

NPI Number: 1295054278
Entity Type: Organization
Organization Name: Ageless Private Home Healthcare
Primary Specialty: Home Health
Enumeration Date: May 30, 2010
Last Updated: May 30, 2010

Practice Location

Address: 3188 KRISAM CREEK DR
City: Loganville
State: Georgia
ZIP Code: 30052-7907
Phone: (404) 553-6671

Authorized Official

Name: JACQUELINE PEAN, REGISTERED NURSE
Title: OWNER
Phone: (404) 553-6671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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