Healthcare Provider Details

I. General information

NPI: 1740708494
Provider Name (Legal Business Name): FAMILY HELP CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7780 MASTIFF RD
UNION CITY GA
30291-3489
US

IV. Provider business mailing address

7780 MASTIFF RD
UNION CITY GA
30291-3489
US

V. Phone/Fax

Practice location:
  • Phone: 770-912-1023
  • Fax:
Mailing address:
  • Phone: 770-912-1023
  • 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: GLORIA WARREN
Title or Position: DIRECTOR
Credential:
Phone: 770-912-1023