| Organization Name: | SHIRLEY & NAOMI PRIVATE HOME CARE SERVICES & TRANSPORTATION |
| NPI Number: | 1407212012 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOAN CHERRYL PARRIS-LEUNG (OWNER) |
| Mailing Address: | 3723 Arminto Dr Ellenwood |
| State: | GA US |
| Postal Code: | 302946663 |
| Phone Number: | 4042268541 |
| Fax Number: | 7703898554 |
| NPI Enumeration Date: | 01/12/2016 |
| NPI Last Update Date: | 01/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 031-R-1524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |