NPI 1366873770

Tka Home Care LLC

Organisation Preferred Provider Organization Marietta, GA

Practice location

Address: 2850 Delk Rd SE Apartment 14j, Marietta, GA 30067-5352
Phone: (678) 903-4086
Fax: (770) 216-1576

Authorised official

Name: Dominic Antonio Aaron
Title: Ceo
Phone: (678) 903-4086

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1366873770
Entity type: Organization
NPI issued: 11 Dec 2013
Record last updated: 11 Dec 2013

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.