Organization · Type 2 NPI
Ebenezer Private Homecare Inc
Community Health Registered Nurse · Villa Rica, GA
NPI number
1942199054
Active
Practice location
5260 Liberty Rd
Villa Rica, GA 30180-3122
Fax (770) 404-7333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | None listed |
Community Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1942199054
Ebenezer Private Homecare Inc's National Provider Identifier is 1942199054, issued on Jul 2, 2025. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Villa Rica, GA. The record was last updated on Jul 2, 2025.