Provider Demographics
NPI:1154833481
Name:PRESLEY HOME CARE LLC
Entity Type:Organization
Organization Name:PRESLEY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SALIMATU
Authorized Official - Middle Name:
Authorized Official - Last Name:EMEAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-468-4989
Mailing Address - Street 1:2782 AMBER FOREST DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-7305
Mailing Address - Country:US
Mailing Address - Phone:404-468-4989
Mailing Address - Fax:
Practice Address - Street 1:2782 AMBER FOREST DR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-7305
Practice Address - Country:US
Practice Address - Phone:404-468-4989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health