Organization Name: | RESTORATIVE HOME CARE |
NPI Number: | 1225497787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIRIAM BOADI (OWNER/ADMINISTRATOR) |
Mailing Address: | 7088 Murphy Joy Ln Nw Norcross |
State: | GA US |
Postal Code: | 300926651 |
Phone Number: | 6785851574 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2016 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |