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1295054278
AGELESS PRIVATE HOME HEALTHCARE
LOGANVILLE, GA
NPI
1295054278
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Entity Type
Organization
Authorized Contact
JACQUELINE PEAN
Owner
404-553-6671
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: GA 067-R-0498)
Enumeration Date
2010-05-30
Last Update Date
2010-05-30
Business Address
AGELESS PRIVATE HOME HEALTHCARE
3188 KRISAM CREEK DR
LOGANVILLE, GA 30052-7907
Phone number: 404-553-6671
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Mailing Address
AGELESS PRIVATE HOME HEALTHCARE
3188 KRISAM CREEK DR
LOGANVILLE, GA 30052-7907
Phone number: 404-553-6671
Copy
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