Provider Demographics
NPI:1225884703
Name:ESTHER & SON PERSONAL CARE HOME,LLC
Entity type:Organization
Organization Name:ESTHER & SON PERSONAL CARE HOME,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-665-6244
Mailing Address - Street 1:6082 DEERFIELD CT # 6082
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-1407
Mailing Address - Country:US
Mailing Address - Phone:404-665-6244
Mailing Address - Fax:404-847-5587
Practice Address - Street 1:6082 DEERFIELD CT # 6082
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1407
Practice Address - Country:US
Practice Address - Phone:404-665-6244
Practice Address - Fax:404-847-5587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No177F00000XOther Service ProvidersLodging