Whalio Doctors

NPI 1003465626

Peniston Personal Care Home,llc

Organisation Home Health Agency Fairburn, GA

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
Agencies Taxonomy 251E00000X
Home Health Registered Nurse
Nursing Service Providers Taxonomy 163WH0200X
Home Health Aide
Nursing Service Related Providers Taxonomy 374U00000X

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.