Tree's of Life Homecare LLC

NPI #1730817701 in Ellenwood, Georgia

Provider Information

NPI Number: 1730817701
Entity Type: Organization
Organization Name: Tree's of Life Homecare LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TREE'S OF LIFE HOMECARE
Primary Specialty: Home Health
Enumeration Date: Aug 9, 2022
Last Updated: Aug 9, 2022

Practice Location

Address: 517 BRENSTON CT
City: Ellenwood
State: Georgia
ZIP Code: 30294-4903
Phone: (770) 688-5763

Authorized Official

Name: MRS. WILGENIA LOCHONA STARKS, OWN
Title: ADMINISTATOR
Phone: (770) 688-5763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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