Provider Demographics
NPI:1821798323
Name:EUPHORIA HOME CARE AND WELLNESS LLC
Entity Type:Organization
Organization Name:EUPHORIA HOME CARE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-682-7009
Mailing Address - Street 1:2770 KEYSTONE GATES CT
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-4107
Mailing Address - Country:US
Mailing Address - Phone:470-682-7009
Mailing Address - Fax:
Practice Address - Street 1:2770 KEYSTONE GATES CT
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-4107
Practice Address - Country:US
Practice Address - Phone:470-682-7009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health