Provider Demographics
NPI:1912730847
Name:LIKE FAMILY HOME CARE OF GEORGIA, LLC
Entity type:Organization
Organization Name:LIKE FAMILY HOME CARE OF GEORGIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:706-508-0668
Mailing Address - Street 1:125 S SEQUOYAH CIR NE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-9020
Mailing Address - Country:US
Mailing Address - Phone:706-508-0668
Mailing Address - Fax:
Practice Address - Street 1:125 S SEQUOYAH CIR NE
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-9020
Practice Address - Country:US
Practice Address - Phone:706-508-0668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care