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1376643692
SHANNON PRIVATE HOME CARE, INC.
RIVERDALE, GA
NPI
1376643692
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Entity Type
Organization
Authorized Contact
DARRIUS E, SHANNON
Administrator
678-479-2027
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2006-09-25
Last Update Date
2020-08-22
Business Address
SHANNON PRIVATE HOME CARE, INC.
7080 GREEN VALLEY LN
RIVERDALE, GA 30274-3206
Phone number: 678-479-2027
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Mailing Address
SHANNON PRIVATE HOME CARE, INC.
PO BOX 961346
RIVERDALE, GA 30296-6904
Phone number: 678-479-2027
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