- Enrollment id
- O20070313000115
- Enrollment state
- GA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417016452
- Multiple npi flag
- N
- Ccn
- 117010
- Associate id
- 6406959402
- Organization name
- FLOYD HOMECARE, LLC
- Doing business as name
- ADORATION HOME HEALTH
- Incorporation date
- 2006-12-05
- Incorporation state
- GA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 101 E 2ND AVE
- Address line 2
- STE 200
- City
- ROME
- State
- GA
- Zip code
- 301613192