Shannon Private Home Care, Inc.

NPI #1376643692 in Riverdale, Georgia

Provider Information

NPI Number: 1376643692
Entity Type: Organization
Organization Name: Shannon Private Home Care, Inc.
Primary Specialty: Home Health
Enumeration Date: Sep 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7080 GREEN VALLEY LN
City: Riverdale
State: Georgia
ZIP Code: 30274-3206
Phone: (678) 479-2027

Authorized Official

Name: DARRIUS E, SHANNON
Title: ADMINISTRATOR
Phone: (678) 479-2027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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