Abode Independence Home Care LLC.
Organization Active NPI In Home Supportive Care Agency · Locust Grove, GA
NPI 1851066740 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1851066740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- ABODE INDEPENDENCE HOME CARE LLC.
- Practice address
- 140 Al Jennah Blvd
Locust Grove, GA 30248-3753 - Phone
- (770) 927-8119
- NPI assigned
- Aug 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Ms. Tieara Dijon Freeman, MS
- Title
- Owner/Administrator
- Phone
- (770) 203-6660
Practitioners 1
-
Tieara Freeman, MS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
140 Al Jennah Blvd
Locust Grove, GA 30248-3753
Mailing address
140 Al Jennah Blvd
Locust Grove, GA 30248-3753
Phone (770) 927-8119
Other providers in Locust Grove, GA
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- A&a Serenity Care
- Abilityone Rehab Inc
- Acsh Primary Care of Georgia, LLC
- Acsh Urgent Care of Georgia, LLC
- Bolaji Adesiji
- Florence Achilihu Adiele
- Kennesha Laverne Alexander
All providers in Locust Grove, GA · In Home Supportive Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.