# NATIONAL HEALTHCARE AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033685946
- **Authorized official:** JEROME IVERY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (330) 212-2535

## Contact information

- **Practice address:** 3469 LAWRENCEVILLE HWY, TUCKER, GA 30084-5888
- **Practice address phone:** (330) 212-2535
- **Mailing address:** 1527 KELLEYS CLOSE, STONE MOUNTAIN, GA 30088-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2018
- **Last updated:** 10/17/2018