Healthcare Provider Details

I. General information

NPI: 1689131724
Provider Name (Legal Business Name): FAVOR HOME HEALTH CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 02/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 GALLERY CT
ACWORTH GA
30101-2709
US

IV. Provider business mailing address

51 GALLERY CT
ACWORTH GA
30101-2709
US

V. Phone/Fax

Practice location:
  • Phone: 678-508-5356
  • Fax:
Mailing address:
  • Phone: 678-508-5356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ULCY MONEREAU-JULES
Title or Position: CEO/CLINICAL DIRECTOR
Credential: RN
Phone: 678-508-5356