PENISTON PERSONAL CARE HOME,LLC

Home Health

Active Organization
NPI: 1003465626

Practice Address

4680 SUNDRIDGE TRL
Fairburn, GA 30213

Phone: (678) 545-3934

Specialties

Specialty Code Primary License
Registered Nurse - Home Health 163WH0200X No -
Home Health Aide 374U00000X No -
Home Health 251E00000X Yes -

Frequently Asked Questions

NPI 1003465626 is the National Provider Identifier for PENISTON PERSONAL CARE HOME,LLC, a Home Health provider located in Fairburn, GA. This NPI was enumerated on September 6, 2019.

Quick Facts

NPI
1003465626
Type
Organization
Enumerated
Sep 6, 2019
Last Updated
May 18, 2023

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