Provider Demographics
NPI:1760801179
Name:PERFECT CHOICE PRIVATE HOME CARE
Entity Type:Organization
Organization Name:PERFECT CHOICE PRIVATE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:T
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-594-4631
Mailing Address - Street 1:PO BOX 552
Mailing Address - Street 2:
Mailing Address - City:EXPERIMENT
Mailing Address - State:GA
Mailing Address - Zip Code:30212-0552
Mailing Address - Country:US
Mailing Address - Phone:404-594-4631
Mailing Address - Fax:
Practice Address - Street 1:1704 W POPLAR ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-7102
Practice Address - Country:US
Practice Address - Phone:404-594-4631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health