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NPI Code Detail

MEDICARE: SENIOR HOMECARE BY A CIRCLE OF FRIENDS

MEDICARE: SENIOR HOMECARE BY A CIRCLE OF FRIENDS
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
1251E00000XHome Health Agency060-R-0454GA

General Provider Information

NPI Number : 1831346600
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR HOMECARE BY A CIRCLE OF FRIENDS
Provider Business Mailing Address
First Line : 1401 PEACHTREE ST
Second Line : SUITE 500-85
City : ATLANTA
State : GA
Zip : 30309-3023
Country : US
Telephone Number : 404-872-3733
Fax Number : 404-962-6928
Provider Business Practice Location Address
First Line : 1401 PEACHTREE ST
Second Line : SUITE 500-85
City : ATLANTA
State : GA
Zip : 30309-3023
Country : US
Telephone Number : 404-872-3733
Fax Number : 404-962-6928
Authorized Official
Title or Position : DIRECTOR
Name : MRS. PATRICIA WILLIAMS GOODGAME
Credential :
Telephone Number : 404-451-0600
Provider Enumeration Date : 08/25/2008
Last Update Date : 08/25/2008

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Directions to “SENIOR HOMECARE BY A CIRCLE OF FRIENDS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.