# NORTH GEORGIA HOMECARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1073168084
- **Authorized official:** CARY LUCAS (PRESIDENT)
- **Authorized official phone:** (770) 715-9349

## Contact information

- **Practice address:** 3655 EVONVALE GLN, CUMMING, GA 30041-7381
- **Practice address phone:** (770) 715-9349
- **Mailing address:** 11877 DOUGLAS RD STE 102346, JOHNS CREEK, GA 30005-4325

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2019
- **Last updated:** 08/06/2019