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Big Mommas' House Pch Inc
Home Health Agency in Lithonia, Georgia
NPI 1578892774

Big Mommas' House Pch Inc is a Home Health Agency based in Lithonia, GA. Big Mommas' House Pch Inc practices in Lithonia, GA. The NPI Number for Big Mommas' House Pch Inc is 1578892774 and holds a License No. (Georgia).

The current practice location address for Big Mommas' House Pch Inc is 4791 Golod Way, Lithonia, GA and can be reached out via phone at 678-418-3007 and via fax at 678-418-9958. You can also correspond with Big Mommas' House Pch Inc through the mailing address at 4791 GOLOD WAY, LITHONIA, GA - 30038-6297 (mailing address contact number: 678-418-3007).

Location: 4791 Golod Way, Lithonia, GA, 30038-6297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578892774
Provider Name
Big Mommas' House Pch Inc
Credential
Provider Entity Type
Organization
Address
4791 Golod Way, Lithonia, GA, 30038-6297
Phone Number
678-418-3007
Fax Number
678-418-9958
Provider Enumeration Date
12/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
654081001A 05 GA
institution
Provider Business Practice Location Address Details
Address
4791 Golod Way
City
Lithonia
State
Georgia
Zip
30038-6297
Phone Number
678-418-3007
Fax Number
678-418-9958
person
Provider Business Mailing Address Details
Address
4791 Golod Way
City
Lithonia
State
Georgia
Zip
30038-6297
Phone Number
678-418-3007
Fax Number
678-418-9958
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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