Provider Demographics
NPI:1922876127
Name:PPE HOME CARE LLC
Entity Type:Organization
Organization Name:PPE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:DUPREE
Authorized Official - Last Name:POSTELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-247-5022
Mailing Address - Street 1:3806 BAY GROVE WAY
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-6608
Mailing Address - Country:US
Mailing Address - Phone:706-247-5022
Mailing Address - Fax:
Practice Address - Street 1:3806 BAY GROVE WAY
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-6608
Practice Address - Country:US
Practice Address - Phone:706-247-5022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care