Provider Demographics
NPI:1194022251
Name:PERFECTION HEALTH CARE L.L.C
Entity Type:Organization
Organization Name:PERFECTION HEALTH CARE L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:PCT/CNA
Authorized Official - Phone:404-447-3005
Mailing Address - Street 1:2025 PEACHTREE RD NE
Mailing Address - Street 2:APT 1424
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1413
Mailing Address - Country:US
Mailing Address - Phone:404-447-3005
Mailing Address - Fax:
Practice Address - Street 1:2025 PEACHTREE RD NE
Practice Address - Street 2:APT 1424
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1413
Practice Address - Country:US
Practice Address - Phone:404-447-3005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0028907730251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care