MEDICARE: SAVIOR CLEANING SERVICES

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

General Provider Information

NPI Number	:	1619296993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVIOR CLEANING SERVICES

Provider Business Mailing Address
First Line	:	2165 KNIGHTON DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-4302
Country	:	US
Telephone Number	:	770-997-1450
Fax Number	:

Provider Business Practice Location Address
First Line	:	2165 KNIGHTON DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-4302
Country	:	US
Telephone Number	:	770-997-1450
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SHAMEKA STERLING
Credential	:
Telephone Number	:	770-997-1450

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	05/25/2010

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