MEDICARE: PERFECTION HEALTH CARE L.L.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	CN0028907730	GA
2	251E00000X	Home Health Agency	CN0028907730	GA

General Provider Information

NPI Number	:	1194022251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFECTION HEALTH CARE L.L.C

Provider Business Mailing Address
First Line	:	2025 PEACHTREE RD NE
Second Line	:	APT 1424
City	:	ATLANTA
State	:	GA
Zip	:	30309-1413
Country	:	US
Telephone Number	:	404-447-3005
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 PEACHTREE RD NE
Second Line	:	APT 1424
City	:	ATLANTA
State	:	GA
Zip	:	30309-1413
Country	:	US
Telephone Number	:	404-447-3005
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TIMOTHY RYAN WARD
Credential	:	PCT/CNA
Telephone Number	:	404-447-3005

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	02/24/2011

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