NPI 1003465626
Peniston Personal Care Home,llc
Practice location
- Address
- 4680 Sundridge Trl, Fairburn, GA 30213-1997
- Phone
- (678) 545-3934
- Fax
- (770) 892-1051
Authorised official
- Name
- Breezy U Houston
- Title
- Owner
- Phone
- (678) 545-3934
Registered specialties (3)
Home Health Agency
Primary
Home Health Registered Nurse
Home Health Aide
Registry record
- NPI
- 1003465626
- Entity type
- Organization
- NPI issued
- 6 Sep 2019
- Record last updated
- 18 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.