| Primary Medical Homecare Llc | |
|
2480 Windy Hill Rd Se Ste 206 Marietta GA 30067-8656 | |
| (404) 800-5550 | |
| Not Available |
| Full Name | Primary Medical Homecare Llc |
|---|---|
| Speciality | Home Health |
| Location | 2480 Windy Hill Rd Se Ste 206, Marietta, Georgia |
| Authorized Official Name and Position | Reda Coston (HEALTHCARE ADMINISTRATOR) |
| Authorized Official Contact | 4048005550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Homecare Llc 2480 Windy Hill Rd Se Ste 206 Marietta GA 30067-8656 Ph: (404) 800-5550 | Primary Medical Homecare Llc 2480 Windy Hill Rd Se Ste 206 Marietta GA 30067-8656 Ph: (404) 800-5550 |
| NPI Number | 1043828932 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/17/2020 |
| Certification Date | 07/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043828932 | NPI | - | NPPES |
| 033-R-1687 | Other | GA | DEPT. OF COMMUNITY HEALTH |
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