OrganizationActive
Gentleman Home Care
NPI 1063297026 · Child & Family Psychiatric/Mental Health Clinical Nurse Specialist · Smyrna, GA
Provider details
- NPI number
- 1063297026
- Entity type
- Organization
- Primary specialty
- Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Mark Phillips, Ceo
Practice location
4586 Valley Pkwy Se Unite E
4586 Valley Pkwy Se Unit E
Smyrna, GA 30082
Phone: (914) 943-1442
Mailing address
4586 Valley Pkwy Se Unite E
Smyrna, GA 30082
Registry dates
- Enumerated
- 2023-08-29
- Last updated
- 2023-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.