Bennett Pch

NPI #1689958076 in Lithonia, Georgia

Provider Information

NPI Number: 1689958076
Entity Type: Organization
Organization Name: Bennett Pch
Primary Specialty: Home Health
Enumeration Date: Oct 4, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 1877 SINGER WAY
City: Lithonia
State: Georgia
ZIP Code: 30058
Phone: (678) 791-5165

Authorized Official

Name: MICHELLE A BENNETT, ETC
Title: DIRECTOR
Phone: (678) 791-5165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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