Provider Demographics
NPI:1487308854
Name:HAYLEE HOME CARE SERVICES
Entity type:Organization
Organization Name:HAYLEE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THUHAU
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-936-6625
Mailing Address - Street 1:2618 SABLE GLEN CT
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-7663
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:470-326-3999
Practice Address - Street 1:2618 SABLE GLEN CT
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-7663
Practice Address - Country:US
Practice Address - Phone:678-936-6625
Practice Address - Fax:470-326-3999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health