Healthcare Provider Details

I. General information

NPI: 1104307529
Provider Name (Legal Business Name): TANGIBLE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 PERRY LN
UNION CITY GA
30291-3412
US

IV. Provider business mailing address

285 PERRY LN
UNION CITY GA
30291-3412
US

V. Phone/Fax

Practice location:
  • Phone: 678-427-0538
  • Fax:
Mailing address:
  • Phone: 678-427-0538
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PATTY TOWELLS
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 678-427-0538