Advir Home Care LLC

Organization Active NPI In Home Supportive Care Agency · Ellenwood, GA

NPI 1114260346 · NPPES record last updated Apr 6, 2013

Key facts

NPI
1114260346
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
ADVIR HOME CARE LLC
Practice address
3851 Lincoln Jones Rd Ste B
Ellenwood, GA 30294-1828
Phone
(404) 829-2682
Fax
(404) 795-0854
NPI assigned
Apr 6, 2013
Organization subpart
No

Authorized official

Name
Mary J Washington, REGISTERED NURSE
Title
Ceo
Phone
(404) 829-2682

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X GA Yes

Addresses

Primary practice location

3851 Lincoln Jones Rd Ste B
Ellenwood, GA 30294-1828

Mailing address

3851 Lincoln Jones Rd Ste B
Ellenwood, GA 30294-1828
Phone (404) 829-2682

Other providers in Ellenwood, GA

All providers in Ellenwood, GA · In Home Supportive Care Agency in Georgia

Sources for this page

Verify at the official NPI Registry.