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NPI Code Detail

MEDICARE: LOYAL CARE LLC

MEDICARE: LOYAL CARE LLC
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 Agency
2251J00000XNursing Care Agency
3253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010969OTHERGAPHCP

General Provider Information

NPI Number : 1952994675
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOYAL CARE LLC
Provider Business Mailing Address
First Line : 10 GLENLAKE PKWY STE 130
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-3495
Country : US
Telephone Number : 770-688-6343
Fax Number : 678-222-3401
Provider Business Practice Location Address
First Line : 10 GLENLAKE PKWY STE 130
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-3495
Country : US
Telephone Number : 678-222-3487
Fax Number : 678-222-3401
Authorized Official
Title or Position : OWNER
Name : FLORISSA MAHER
Credential : CEO
Telephone Number : 770-688-6343
Provider Enumeration Date : 02/13/2021
Last Update Date : 12/10/2025

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Directions to “LOYAL CARE LLC ” Practice Location

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