Provider Demographics
NPI:1043990765
Name:HOME CARE SERVICES OF DULUTH LLC
Entity Type:Organization
Organization Name:HOME CARE SERVICES OF DULUTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MING KEONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-912-5220
Mailing Address - Street 1:3336 SWALLOWTAIL TER
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3614
Mailing Address - Country:US
Mailing Address - Phone:770-912-5220
Mailing Address - Fax:
Practice Address - Street 1:3336 SWALLOWTAIL TER
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3614
Practice Address - Country:US
Practice Address - Phone:770-912-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care