Provider Demographics
NPI:1689131724
Name:FAVOR HOME HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:FAVOR HOME HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ULCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONEREAU-JULES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-508-5356
Mailing Address - Street 1:51 GALLERY CT
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-2709
Mailing Address - Country:US
Mailing Address - Phone:678-508-5356
Mailing Address - Fax:
Practice Address - Street 1:51 GALLERY CT
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-2709
Practice Address - Country:US
Practice Address - Phone:678-508-5356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility