ENERSED PERSONAL CARE HOME INC NPI 1972754968

NPI Information

ENERSED PERSONAL CARE HOME, INC is a respite care in Decatur, GA. ENERSED PERSONAL CARE HOME, INC NPI is 1972754968. The provider is registered as an organization entity type.

The provider's business location address is:

3451 SPRINGRUN DR
DECATUR, GA
ZIP 30032-827
Phone: (404) 288-8026

The provider's authorized official is Desrene Thompson .
The authorized official title is President/ceo and has the following contact phone number (404) 288-8026.

The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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