OrganizationActive
Ageless Private Home Healthcare
NPI 1295054278 · Home Health Agency · Loganville, GA
Provider details
- NPI number
- 1295054278
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jacqueline Pean, Owner(404) 553-6671
- License
- 067-R-0498 (GA)
Specialties & taxonomies
Agencies
Practice location
3188 Krisam Creek Dr
Loganville, GA 30052-7907
Phone: (404) 553-6671
Approximate (ZIP-level) locationGet directions
Mailing address
3188 Krisam Creek Dr
Loganville, GA 30052-7907
Registry dates
- Enumerated
- 2010-05-30
- Last updated
- 2010-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.